Tampa Life Counseling, Llc | |
13035 W. Linebaugh Ave #101 Ste G Tampa FL 33626 | |
(813) 906-8852 | |
Not Available |
Full Name | Tampa Life Counseling, Llc |
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Speciality | Social Worker |
Location | 13035 W. Linebaugh Ave #101 Ste G, Tampa, Florida |
Authorized Official Name and Position | Ha Alberti (OWNER) |
Authorized Official Contact | 8172717780 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Tampa Life Counseling, Llc 16209 Muirfield Dr Odessa FL 33556-2830 Ph: () - | Tampa Life Counseling, Llc 13035 W. Linebaugh Ave #101 Ste G Tampa FL 33626 Ph: (813) 906-8852 |
NPI Number | 1003335571 |
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Provider Enumeration Date | 09/15/2017 |
Last Update Date | 10/29/2017 |
Medicare PECOS PAC ID | 8123365111 |
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Medicare Enrollment ID | O20190129002874 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003335571 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 14637 (Florida) | Secondary |
1041C0700X | Social Worker - Clinical | 14637 (Florida) | Primary |
Provider Name | Ha Alberti |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1720502933 PECOS PAC ID: 9436415221 Enrollment ID: I20171110001722 |
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