| Counseling Associates Of Tampa Bay, Llc | |
|
11736 Newberry Grove Loop Riverview FL 33579-3902 | |
| (908) 415-0632 | |
| Not Available |
| Full Name | Counseling Associates Of Tampa Bay, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 11736 Newberry Grove Loop, Riverview, Florida |
| Authorized Official Name and Position | Timothy Weaver (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9084150632 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling Associates Of Tampa Bay, Llc 11736 Newberry Grove Loop Riverview FL 33579-3902 Ph: (908) 415-0632 | Counseling Associates Of Tampa Bay, Llc 11736 Newberry Grove Loop Riverview FL 33579-3902 Ph: (908) 415-0632 |
| NPI Number | 1073058921 |
|---|---|
| Provider Enumeration Date | 01/02/2017 |
| Last Update Date | 01/02/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073058921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH9939 (Florida) | Primary |
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