Healthcare Provider Details

I. General information

NPI: 1114079605
Provider Name (Legal Business Name): PROFESSIONAL COUNSELING CENTERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1808 ORCHID STREET
SARASOTA FL
34239
US

IV. Provider business mailing address

1808 ORCHID STREET
SARASOTA FL
34239
US

V. Phone/Fax

Practice location:
  • Phone: 941-951-0548
  • Fax: 941-955-6269
Mailing address:
  • Phone: 941-951-0548
  • Fax: 941-955-6269

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. PAUL WHITE
Title or Position: PRESIDENT
Credential: LCSW
Phone: 941-365-4089