Statera Psychotherapy LLC

NPI #1699403147 in Lutz, Florida

Provider Information

NPI Number: 1699403147
Entity Type: Organization
Organization Name: Statera Psychotherapy LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Aug 11, 2022
Last Updated: Aug 11, 2022

Practice Location

Address: 19730 MORDEN BLUSH DR
City: Lutz
State: Florida
ZIP Code: 33558-9088
Phone: (813) 438-6115

Authorized Official

Name: KATALIN VINCZI-SIERRA, LCSW
Title: MEMBER-MANAGER
Phone: (813) 438-6115

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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