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1528890126
BLACK MENTAL HEALTH TAMPA BAY LLC
TAMPA, FL
NPI
1528890126
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Entity Type
Organization
Authorized Contact
RAVEEN FLORENCE
Lcsw
813-451-4359
Organization Subpart ?
No
Primary Taxonomy
251S00000X
Enumeration Date
2024-08-14
Last Update Date
2024-08-14
Business Address
BLACK MENTAL HEALTH TAMPA BAY LLC
7402 N 56TH ST STE 355
TAMPA, FL 33617-7700
Phone number: 813-451-4359
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Mailing Address
BLACK MENTAL HEALTH TAMPA BAY LLC
3975 ADDLESTONE AVE UNIT 113
WESLEY CHAPEL, FL 33543-5582
Phone number: 813-451-4359
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