| NPI | 1245579978 |
|---|---|
| Former Legal Business Name | MI COUNSELING OF NEW TAMPA, LLC |
| Entity Type | Organization |
| Authorized Contact | MIRIAM INNOCENTI Sole Member 813-494-8643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2013-01-31 |
| Last Update Date | 2018-04-05 |