| NPI | 1699348797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNETTE G ALCANTARA Licensed Mental Health Counselor 813-641-4410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YP1600X Counselor Pastoral |
| 101YS0200X Counselor School | |
| 103TC0700X Psychologist Clinical | |
| 103TS0200X Psychologist School | |
| 1041C0700X Social Worker Clinical | |
| 1041S0200X Social Worker School | |
| 106H00000X Marriage & Family Therapist | |
| 133NN1002X Nutritionist Nutrition, Education | |
| 171400000X | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2021-07-19 |