| Grow, Empower, Transform Therapy, Llc | |
|
2700 N Macdill Ave Ste 116 Tampa FL 33607-2284 | |
| (813) 563-8227 | |
| Not Available |
| Full Name | Grow, Empower, Transform Therapy, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2700 N Macdill Ave Ste 116, Tampa, Florida |
| Authorized Official Name and Position | Denise D Moore (OWNER, CLINICAL DIRECTOR) |
| Authorized Official Contact | 8135638227 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grow, Empower, Transform Therapy, Llc Po Box 10192 Tampa FL 33679-0192 Ph: (813) 563-8227 | Grow, Empower, Transform Therapy, Llc 2700 N Macdill Ave Ste 116 Tampa FL 33607-2284 Ph: (813) 563-8227 |
| NPI Number | 1013524149 |
|---|---|
| Provider Enumeration Date | 09/23/2020 |
| Last Update Date | 06/12/2024 |
| Certification Date | 06/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013524149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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