Healthcare Provider Details

I. General information

NPI: 1174488381
Provider Name (Legal Business Name): THERAPEUTIC SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7901 4TH ST N STE 300
SAINT PETERSBURG FL
33702-4399
US

IV. Provider business mailing address

1625 LEMA DR
TITUSVILLE FL
32780-3110
US

V. Phone/Fax

Practice location:
  • Phone: 321-830-5995
  • Fax:
Mailing address:
  • Phone: 321-830-5995
  • Fax: 321-830-5995

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MS. ERYKA SANDRIDGE
Title or Position: LICENSED MENTAL HEALTH COUNSELOR
Credential: MS, LMHC-FL
Phone: 321-830-5995