DIRECT CLINICS INC NPI 1689329922

NPI Information

  • NPI: 1689329922
  • Provider Name: DIRECT CLINICS INC
  • Classification: Clinic/Center - 261QM0855X
  • Specialization: Adolescent and Children Mental Health
  • Entity Type: Organization
  • Address: 8980 S FEDERAL HWY STE 100B
    PORT ST LUCIE, FL
    ZIP 34952
  • Phone: (888) 484-2466

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NPI Details

DIRECT CLINICS INC is an adolescent and children mental health clinic center in Port St Lucie, FL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. DIRECT CLINICS INC NPI is 1689329922. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8980 S FEDERAL HWY STE 100B
PORT ST LUCIE, FL
ZIP 34952-482
Phone: (888) 484-2466

The provider's authorized official is Wallace De Rothsman .
The authorized official title is Ceo and has the following contact phone number (650) 797-8441.

The enumeration date for this NPI number is 2/15/2022 and was last updated on 4/6/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthNo
2261QC1500XClinic/CenterCommunity HealthNo
3261QM0855XClinic/CenterAdolescent and Children Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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