Healthcare Provider Details

I. General information

NPI: 1629953963
Provider Name (Legal Business Name): TIKVAH COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2025
Last Update Date: 08/06/2025
Certification Date: 08/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

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

IV. Provider business mailing address

3328 RANCHDALE DR
PLANT CITY FL
33566-4766
US

V. Phone/Fax

Practice location:
  • Phone: 813-798-0897
  • Fax:
Mailing address:
  • Phone: 706-768-4239
  • Fax:

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: SARAH STOWE
Title or Position: LMHC
Credential:
Phone: 813-798-0897