| Boundless Hope | |
|
18703 N Dale Mabry Hwy Lutz FL 33548-4979 | |
| (813) 219-8844 | |
| Not Available |
| Full Name | Boundless Hope |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 18703 N Dale Mabry Hwy, Lutz, Florida |
| Authorized Official Name and Position | Jolene M. Lantz (OWNER) |
| Authorized Official Contact | 8132198844 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boundless Hope 18703 N Dale Mabry Hwy Lutz FL 33548-4979 Ph: (813) 219-8844 | Boundless Hope 18703 N Dale Mabry Hwy Lutz FL 33548-4979 Ph: (813) 219-8844 |
| NPI Number | 1093428773 |
|---|---|
| Provider Enumeration Date | 12/28/2022 |
| Last Update Date | 12/28/2022 |
| Certification Date | 12/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093428773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
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