| Northside Mental Health Center | |
|
12512 Bruce B Downs Blvd Tampa FL 33612-9209 | |
| (813) 977-8700 | |
| (813) 975-8138 |
| Full Name | Northside Mental Health Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 12512 Bruce B Downs Blvd, Tampa, Florida |
| Authorized Official Name and Position | Cristina Lopez-scalzo (SENIOR THERAPIST/LMHC) |
| Authorized Official Contact | 8139778700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northside Mental Health Center 12512 Bruce B Downs Blvd Tampa FL 33612 Ph: () - | Northside Mental Health Center 12512 Bruce B Downs Blvd Tampa FL 33612-9209 Ph: (813) 977-8700 |
| NPI Number | 1033472667 |
|---|---|
| Provider Enumeration Date | 06/19/2012 |
| Last Update Date | 06/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033472667 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MH11041 (Florida) | Primary |
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