| The Well Counseling Services Of Tampa Bay | |
|
19337 Shumard Oak Dr Land O Lakes FL 34638-7235 | |
| (813) 693-0654 | |
| (813) 441-7320 |
| Full Name | The Well Counseling Services Of Tampa Bay |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 19337 Shumard Oak Dr, Land O Lakes, Florida |
| Authorized Official Name and Position | Michelle Rodriguez (OWNER/PROVIDER) |
| Authorized Official Contact | 8136930654 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Well Counseling Services Of Tampa Bay 20203 Indian Rosewood Dr Tampa FL 33647-3486 Ph: (813) 693-0654 | The Well Counseling Services Of Tampa Bay 19337 Shumard Oak Dr Land O Lakes FL 34638-7235 Ph: (813) 693-0654 |
| NPI Number | 1568089829 |
|---|---|
| Provider Enumeration Date | 07/01/2020 |
| Last Update Date | 07/01/2020 |
| Certification Date | 07/01/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568089829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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