| NPI | 1306377551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TATESSICA COOLEY Licensed Mental Health Counselor 813-399-4605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH14939) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2017-03-21 |