Healthcare Provider Details

I. General information

NPI: 1467166215
Provider Name (Legal Business Name): THE CENTER FOR NEUROCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2023
Last Update Date: 07/17/2023
Certification Date: 07/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2415 UNIVERSITY PKWY STE 219
SARASOTA FL
34243-2809
US

IV. Provider business mailing address

2415 UNIVERSITY PKWY STE 219
SARASOTA FL
34243-2809
US

V. Phone/Fax

Practice location:
  • Phone: 800-687-1938
  • Fax:
Mailing address:
  • Phone: 800-687-1938
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHELLE E. MORRELL
Title or Position: CLINICIAN
Credential: PSYD
Phone: 941-404-9664