Healthcare Provider Details

I. General information

NPI: 1780159061
Provider Name (Legal Business Name): SOLUTIONS CENTER FOR PERSONAL GROWTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2018
Last Update Date: 10/12/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

664 SE MONTEREY RD
STUART FL
34994-4410
US

IV. Provider business mailing address

43 SW WATERCRESS WAY
STUART FL
34994-4845
US

V. Phone/Fax

Practice location:
  • Phone: 772-220-1777
  • Fax: 772-872-5226
Mailing address:
  • Phone: 772-220-1777
  • Fax: 772-872-5226

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: WENDYNE LIMBER
Title or Position: OWNER
Credential: MA, LMFT
Phone: 772-220-1777