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IREBOOT LLC NPI 1518311398


NPI Information

NPI: 1518311398
Provider Name: IREBOOT, LLC
Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
4511 N HIMES AVE STE 200
TAMPA, FL
ZIP 33614
Phone: (813) 422-7609
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IREBOOT, LLC is a counselor in Tampa, FL. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. IREBOOT, LLC NPI is 1518311398. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4511 N HIMES AVE STE 200
TAMPA, FL
ZIP 33614-085
Phone: (813) 422-7609

The provider's authorized official is Cynthia Citron .
The authorized official title is Owner and has the following contact phone number (813) 422-7609.

The enumeration date for this NPI number is 4/19/2016 and was last updated on 4/19/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorMH12380FLORIDAYes

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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