| NPI | 1093672123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY FRANCIS DECOSTA Licensed Mental Health Counselor 813-364-4162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2026-01-09 |
| Last Update Date | 2026-01-12 |