Provider Demographics
NPI:1871240077
Name:SEASONS THERAPY LLC
Entity Type:Organization
Organization Name:SEASONS THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MBR
Authorized Official - Prefix:
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:
Authorized Official - Last Name:MAYPER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:941-344-9110
Mailing Address - Street 1:PO BOX 2812
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34230-2812
Mailing Address - Country:US
Mailing Address - Phone:941-344-9110
Mailing Address - Fax:
Practice Address - Street 1:3205 SOUTHGATE CIR STE 1
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-5514
Practice Address - Country:US
Practice Address - Phone:941-344-9110
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-07
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty