1568593135 NPI number — NEW TAMPA COUNSELING AND MEDIATION, INC.

Table of content: (NPI 1568593135)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1568593135 NPI number — NEW TAMPA COUNSELING AND MEDIATION, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEW TAMPA COUNSELING AND MEDIATION, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1568593135
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/01/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 46458
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TAMPA
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33646-0104
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
813-504-0360
Provider Business Mailing Address Fax Number:
813-977-4120

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8907 REGENTS PARK DR
Provider Second Line Business Practice Location Address:
SUITE 310
Provider Business Practice Location Address City Name:
TAMPA
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33647-3401
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
813-504-0360
Provider Business Practice Location Address Fax Number:
813-977-4120
Provider Enumeration Date:
03/08/2007

Additional Information

Authorized Official

Authorized Official Last Name:
CRAWFORD-CLARK
Authorized Official First Name:
BRENDA
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
813-504-0360

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  LMHC 5109 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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