| NPI | 1558089425 |
|---|---|
| Doing Business As | 1540 COUNSELING |
| Entity Type | Organization |
| Authorized Contact | MARY J. VAZQUEZ Clinical Director 727-268-8750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP1600X Counselor, Pastoral | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2022-08-17 |
| Last Update Date | 2022-08-23 |