Healthcare Provider Details
I. General information
NPI: 1912801531
Provider Name (Legal Business Name): UNDERTONE COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
100 KINGS POINT DR APT 1503
SUNNY ISLES BEACH FL
33160-4730
US
IV. Provider business mailing address
7901 4TH ST N STE 300
ST PETERSBURG FL
33702-4399
US
V. Phone/Fax
- Phone: 917-397-2678
- Fax:
- Phone: 917-397-2678
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
KAIYA
NOELLE
FINE
Title or Position: OWNER
Credential: LMHC
Phone: 917-397-2678