MANTRA COUNSELING LLC NPI 1285977520

NPI Information

NPI: 1285977520
Provider Name: MANTRA COUNSELING, LLC

Former Legal Business Name: AMY DATLA

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
4230 SOUTH MACDILL AVE
SUITE 209
TAMPA, FL
ZIP 33611
Phone: (813) 808-1956
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MANTRA COUNSELING, LLC is a mental health counselor in Tampa, FL. MANTRA COUNSELING, LLC NPI is 1285977520. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Amy Datla.

The provider's business location address is:

4230 SOUTH MACDILL AVE
SUITE 209
TAMPA, FL
ZIP 33611-912
Phone: (813) 808-1956
Fax: (888) 977-1272

The provider's authorized official is Amy Lanier Datla .
The authorized official title is Owner and has the following contact phone number (352) 262-2163.

The enumeration date for this NPI number is 4/5/2013 and was last updated on 10/31/2016.

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	106H00000X	Marriage & Family Therapist		MT 2809	FLORIDA	No
2	101YM0800X	Counselor	Mental Health	MH 8831	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

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