| Indigo Counseling Llc | |
|
3005 Lithia Pinecrest Rd Valrico FL 33596-5630 | |
| (813) 603-8181 | |
| Not Available |
| Full Name | Indigo Counseling Llc |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 3005 Lithia Pinecrest Rd, Valrico, Florida |
| Authorized Official Name and Position | Katherine Blaire Pollak Fell (OWNER/CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 8136038181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Indigo Counseling Llc 3005 Lithia Pinecrest Rd Valrico FL 33596-5630 Ph: (813) 603-8181 | Indigo Counseling Llc 3005 Lithia Pinecrest Rd Valrico FL 33596-5630 Ph: (813) 603-8181 |
| NPI Number | 1578021655 |
|---|---|
| Provider Enumeration Date | 03/07/2019 |
| Last Update Date | 03/07/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578021655 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Primary |
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