Organization Name: | STEVEN S. MINTER, PSY.D., LLC |
NPI Number: | 1174872584 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEVEN SHELBY MINTER (MANAGING MEMBER) |
Mailing Address: | 607 S Alexander St Suite 104 Plant City |
State: | FL US |
Postal Code: | 335635053 |
Phone Number: | 8133857041 |
Fax Number: | 8134236568 |
NPI Enumeration Date: | 08/30/2012 |
NPI Last Update Date: | 08/30/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM0850X |
License Number: | PY8553 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Mental Health |
Taxonomy Definition: | An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |