SRQ LIFE THERAPY (NPI# 1164909388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164909388 |
| Entity Type | Organization |
| Organization Name | SRQ LIFE THERAPY |
| Practice Address |
2477 Stickney Point Rd Ste 115b Sarasota FL 34231-4092 |
| Practice Telephone | 9416857148 |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2018-07-20 |
| Authorized Official Name | JODIE HABER (OWNER) |
| Authorized Official Telephone | 9416857148 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
2477 STICKNEY POINT RD STE 115B |
| City | SARASOTA |
| State | FL |
| Zip Code | 34231-4092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285719740 | Jeffrey Frank | Social Worker | 2477 Stickney Point Rd Ste 115b, Sarasota, FL 34231-4092 | 2006-10-25 |
| 1366069916 | Lisa A Jennay | Marriage & Family Therapist | 2477 Stickney Point Rd Ste 115b, Sarasota, FL 34231-4092 | 2020-06-30 |
| 1619389129 | Art of Psychiatry Pa | Psychiatry & Neurology | 2477 Stickney Point Rd Ste 115b, Sarasota, FL 34231-4092 | 2014-06-02 |
| 1619297132 | Jenny Kosman | Psychiatry & Neurology | 2477 Stickney Point Rd Ste 115b, Sarasota, FL 34231-4092 | 2010-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194292581 | Vanessa M Carmody | Occupational Therapist | 3938 South Tamiami Trail, Sarasota, FL 34231 | 2018-10-24 |
| 1982100194 | Manasota Cares LLC | In Home Supportive Care | 1832 Bayonne St, Sarasota, FL 34231 | 2018-04-05 |
| 1992166003 | Szilvia Lorincz | Nurse Practitioner | 5626 Nutmeg Ave, Sarasota, FL 34231 | 2016-03-16 |
| 1427440684 | Sarasota Primary Care, LLC | Family Medicine | 3333 Clark Rd Ste 190, Sarasota, FL 34231 | 2015-02-25 |
| 1689062887 | Brian Suchan | Hearing Instrument Specialist | 4858 S. Tamiami Trail, Sarasota, FL 34231 | 2014-12-23 |
| 1235572108 | Re-align Exercise Therapy | Clinic/Center | 5210 Palos Verdes Dr, Sarasota, FL 34231 | 2013-04-10 |
| 1346580016 | Karen Lee Bechtold | Physical Therapist | 6553 Gulf Gate Pl Apt 248, Sarasota, FL 34231 | 2013-02-18 |
| 1356688956 | Julius Stone | Dermatology | 5430 Eagle's Point Circle, #103, Sarasota, FL 34231 | 2013-01-16 |
| 1033465034 | Melissa Berry | Occupational Therapist | 2140 Brueckner Drive, Sarasota, FL 34231 | 2012-07-27 |
| 1518233477 | Wigs and Hair Extensions of Sarasota Inc. | Durable Medical Equipment & Medical Supplies | 2412 Stickney Point Road, Sarasota, FL 34231 | 2012-03-26 |
| Find all providers in zip 34231 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821396474 | Neurobehavioral Medicine Centre of Sarasota, Inc. | Clinic/Center | 8400 S Tamiami Trl, Sarasota, FL 34238-2936 | 2011-03-07 |
| 1346544558 | Alice Bolton Pa | Clinic/Center | 2750 Bahia Vista, Ste 108, Sarasota, FL 34239-2636 | 2011-01-03 |
| 1982624821 | Youth Services International Thompson Academy | Clinic/Center | 6000 Cattleridge Dr, Suite 200 2nd Floor, Sarasota, FL 34232-6064 | 2006-07-21 |
| 1477050946 | Kathleen A Frank LLC | Clinic/Center | 405 Julia Pl, Sarasota, FL 34236-6915 | 2018-04-10 |
| 1043684780 | Find Balance, LLC | Clinic/Center | 2831 Ringling Blvd, Suite 206-c, Sarasota, FL 34237-5334 | 2015-11-18 |
| 1255605986 | Jill T Schechter Lcsw Inc | Clinic/Center | 1001 N Washington Blvd, Ste 211, Sarasota, FL 34236-3430 | 2012-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073114823 | Community Behavior Care LLC | Clinic/Center | 221 Ne 164th Street, Unit 276, North Miami Beach, FL 33160 | 2020-11-06 |
| 1912508938 | Melissa Frieder, LLC | Clinic/Center | 7001 Sw 97th Ave Ste 203, Miami, FL 33173-1407 | 2020-11-05 |
| 1073114278 | Love Family Health Center Corp | Clinic/Center | 313 Palm Ave, Hialeah, FL 33010-4715 | 2020-11-04 |
| 1235730417 | Aspire Health Partners, Inc. | Clinic/Center | 4520 Oak Fair Blvd, Tampa, FL 33610-7356 | 2020-11-04 |
| 1053912469 | Loves Community Mental Health Inc | Clinic/Center | 2 Nw 30th Ave, Miami, FL 33125 | 2020-11-03 |
| 1437759032 | Loves Community Mental Health Inc | Clinic/Center | 3011 W Flagler St Unit A, Miami, FL 33135-1222 | 2020-11-01 |
| 1790385342 | New Family Wellness Center Inc | Clinic/Center | 8200 Nw 41st St Ste 200-98, Doral, FL 33166-6205 | 2020-10-31 |
| 1619577475 | Prestige Behavioral Health Center, LLC | Clinic/Center | 7318 W 20th Ave, Hialeah, FL 33016-1855 | 2020-10-29 |
| 1255931101 | Pine Grove Counseling LLC | Clinic/Center | 539 Se Van Loon Ter, Cape Coral, FL 33990-1157 | 2020-10-29 |
| 1831799766 | Mindset Mental Health Services Inc | Clinic/Center | 12485 Sw 137th Ave Ste 109, Miami, FL 33186-4215 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.