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EXPLORATION COUNSELING: THERAPY & BEHAVIOR MODIFICATION SERVICES NPI 1306377551


NPI Information

NPI: 1306377551
Provider Name: EXPLORATION COUNSELING: THERAPY & BEHAVIOR MODIFICATION SERVICES
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
10335 CROSS CREEK BLVD
TAMPA, FL
ZIP 33647
Phone: (813) 399-4605
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EXPLORATION COUNSELING: THERAPY & BEHAVIOR MODIFICATION SERVICES is a mental health counselor in Tampa, FL. EXPLORATION COUNSELING: THERAPY & BEHAVIOR MODIFICATION SERVICES NPI is 1306377551. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10335 CROSS CREEK BLVD
TAMPA, FL
ZIP 33647-795
Phone: (813) 399-4605

The provider's authorized official is Tatessica Cooley .
The authorized official title is Licensed Mental Health Counselor and has the following contact phone number (813) 399-4605.

The enumeration date for this NPI number is 3/21/2017 and was last updated on 3/21/2017.


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
1101YM0800XCounselorMental HealthMH14939FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11669854857MEDICAIDFLORIDA

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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