Vita Serenity Counseling Llc | |
855 E Brandon Blvd Ste C Brandon FL 33511-5418 | |
(813) 650-6497 | |
Not Available |
Full Name | Vita Serenity Counseling Llc |
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Speciality | Counselor - Mental Health |
Location | 855 E Brandon Blvd Ste C, Brandon, Florida |
Authorized Official Name and Position | Mildred Dominguez (LICENSED MENTAL HEALTH COUNSELOR) |
Authorized Official Contact | 8136506497 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Vita Serenity Counseling Llc 855 E Brandon Blvd Ste C Brandon FL 33511-5418 Ph: (813) 650-6497 | Vita Serenity Counseling Llc 855 E Brandon Blvd Ste C Brandon FL 33511-5418 Ph: (813) 650-6497 |
NPI Number | 1841842978 |
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Provider Enumeration Date | 07/09/2019 |
Last Update Date | 07/30/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841842978 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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