| NPI | 1629289848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY D COOPER Director 813-780-8182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP1600X Counselor, Pastoral (Licence: FL DD200134) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral (Licence: NC CPC129413) |
| 101YP1600X Counselor, Pastoral (Licence: FL DD200107) | |
| 101YP1600X Counselor, Pastoral | |
| 101YP1600X Counselor, Pastoral (Licence: TX TM072005) | |
| 103T00000X Psychologist (Licence: FL CPY0239020900) | |
| 103T00000X Psychologist (Licence: FL CPY02400011000) | |
| 103T00000X Psychologist | |
| 103TC1900X Psychologist, Counseling | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist (Licence: FL CCMFT110247) | |
| 106H00000X Marriage & Family Therapist | |
| 251V00000X Voluntary or Charitable | |
| Enumeration Date | 2007-05-28 |
| Last Update Date | 2020-08-22 |