Tampa Bay Clinical Counseling Group Pllc | |
408 W Renfro St Ste 107f Plant City FL 33563-5298 | |
(813) 734-5672 | |
Not Available |
Full Name | Tampa Bay Clinical Counseling Group Pllc |
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Speciality | Counselor - Mental Health |
Location | 408 W Renfro St Ste 107f, Plant City, Florida |
Authorized Official Name and Position | Joel M Laatsch (OWNER) |
Authorized Official Contact | 8137345672 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tampa Bay Clinical Counseling Group Pllc 408 W Renfro St Ste 107f Plant City FL 33563-5298 Ph: (813) 734-5672 | Tampa Bay Clinical Counseling Group Pllc 408 W Renfro St Ste 107f Plant City FL 33563-5298 Ph: (813) 734-5672 |
NPI Number | 1932656329 |
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Provider Enumeration Date | 09/02/2016 |
Last Update Date | 09/02/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932656329 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | MH 13522 (Florida) | Primary |
101YS0200X | Counselor - School | 768543 (Florida) | Secondary |
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