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MY THERAPIST JULIE INC. NPI 1750832069


NPI Information

NPI: 1750832069
Provider Name: MY THERAPIST JULIE, INC.
Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
3825 HENDERSON BLVD
SUITE 405
TAMPA, FL
ZIP 33629
Phone: (813) 858-7663
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MY THERAPIST JULIE, INC. 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. MY THERAPIST JULIE, INC. NPI is 1750832069. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3825 HENDERSON BLVD
SUITE 405
TAMPA, FL
ZIP 33629-037
Phone: (813) 858-7663
Fax: (239) 307-2395

The provider's authorized official is Julie Goddard Martin .
The authorized official title is President and has the following contact phone number (813) 858-7663.

The enumeration date for this NPI number is 10/21/2016 and was last updated on 10/21/2016.


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
1101Y00000XCounselorMH11025FLORIDAYes

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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