Provider Demographics
NPI:1598794752
Name:SUN COAST COUNSELING, INC.
Entity Type:Organization
Organization Name:SUN COAST COUNSELING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OF CORPORATION
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:B
Authorized Official - Last Name:VANDERHYDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-429-6100
Mailing Address - Street 1:5400 S BISCAYNE DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:NORTH PORT
Mailing Address - State:FL
Mailing Address - Zip Code:34287-1932
Mailing Address - Country:US
Mailing Address - Phone:941-429-6100
Mailing Address - Fax:941-426-9147
Practice Address - Street 1:5400 S BISCAYNE DR
Practice Address - Street 2:SUITE A
Practice Address - City:NORTH PORT
Practice Address - State:FL
Practice Address - Zip Code:34287-1932
Practice Address - Country:US
Practice Address - Phone:941-429-6100
Practice Address - Fax:941-426-9147
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty