Healthcare Provider Details
I. General information
NPI: 1134984198
Provider Name (Legal Business Name): SATORI COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/19/2024
Last Update Date: 07/15/2025
Certification Date: 07/15/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1025 BEAL PKWY N STE B1
FORT WALTON BEACH FL
32547-1481
US
IV. Provider business mailing address
7901 4TH ST N # 18228
ST PETERSBURG FL
33702-4305
US
V. Phone/Fax
- Phone: 850-616-7131
- Fax: 850-360-2766
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM0855X |
| Taxonomy | Adolescent and Children Mental Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ALISHA
GREENLAW
Title or Position: LICENSED MENTAL HEALTH COUNSELOR
Credential: MS, LMHC
Phone: 850-616-7131