| Tabula Rasa Counseling Services, Llc | |
|
9199 Bella Vita Cir Land O Lakes FL 34637-3504 | |
| (813) 580-0480 | |
| (813) 354-4766 |
| Full Name | Tabula Rasa Counseling Services, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 9199 Bella Vita Cir, Land O Lakes, Florida |
| Authorized Official Name and Position | Rachel Mccall (CEO) |
| Authorized Official Contact | 8135800480 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tabula Rasa Counseling Services, Llc 9199 Bella Vita Cir Land O Lakes FL 34637-3504 Ph: (813) 580-0480 | Tabula Rasa Counseling Services, Llc 9199 Bella Vita Cir Land O Lakes FL 34637-3504 Ph: (813) 580-0480 |
| NPI Number | 1124722772 |
|---|---|
| Provider Enumeration Date | 03/28/2023 |
| Last Update Date | 03/28/2023 |
| Certification Date | 03/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124722772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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