| Atalia Fogel Lmhc, Pc, Llc | |
|
18958 N Dale Mabry Hwy Suite 102 Lutz FL 33548-4911 | |
| (813) 400-0419 | |
| (813) 333-5994 |
| Full Name | Atalia Fogel Lmhc, Pc, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 18958 N Dale Mabry Hwy, Lutz, Florida |
| Authorized Official Name and Position | Atalia Fogel (THERAPIST/OWNER) |
| Authorized Official Contact | 8134000419 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Atalia Fogel Lmhc, Pc, Llc 449 Marmora Ave Tampa FL 33606-3821 Ph: (813) 400-0419 | Atalia Fogel Lmhc, Pc, Llc 18958 N Dale Mabry Hwy Suite 102 Lutz FL 33548-4911 Ph: (813) 400-0419 |
| NPI Number | 1750649836 |
|---|---|
| Provider Enumeration Date | 04/26/2012 |
| Last Update Date | 04/26/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750649836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH8896 (Florida) | Primary |
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