PERSONAL WELLNESS SOLUTIONS P.A. NPI 1164827838

NPI Information

NPI: 1164827838
Provider Name: PERSONAL WELLNESS SOLUTIONS, P.A.
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
13801 N DALE MABRY HWY STE 200
TAMPA, FL
ZIP 33618
Phone: (813) 390-1425
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PERSONAL WELLNESS SOLUTIONS, P.A. is a mental health counselor in Tampa, FL. PERSONAL WELLNESS SOLUTIONS, P.A. NPI is 1164827838. The provider is registered as an organization entity type.

The provider's business location address is:

13801 N DALE MABRY HWY STE 200
TAMPA, FL
ZIP 33618-412
Phone: (813) 390-1425

The provider's authorized official is Alicia Anne Divico .
The authorized official title is Owner and has the following contact phone number (813) 384-4215.

The enumeration date for this NPI number is 10/23/2014 and was last updated on 7/28/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			No
2	101YM0800X	Counselor	Mental Health	MH11494	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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