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MAGNOLIA COMMUNITY MENTAL HEALTH CENTER LLC NPI 1598361719


NPI Information

NPI: 1598361719
Provider Name: MAGNOLIA COMMUNITY MENTAL HEALTH CENTER LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
2513 W HILLSBOROUGH AVE STE 210
TAMPA, FL
ZIP 33614
Phone: (813) 450-1052
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MAGNOLIA COMMUNITY MENTAL HEALTH CENTER LLC is a mental health (including community mental health center) clinic center in Tampa, FL. MAGNOLIA COMMUNITY MENTAL HEALTH CENTER LLC NPI is 1598361719. The provider is registered as an organization entity type.

The provider's business location address is:

2513 W HILLSBOROUGH AVE STE 210
TAMPA, FL
ZIP 33614-122
Phone: (813) 450-1052

The provider's authorized official is Sunamys Miralles Cardet .
The authorized official title is Owner and has the following contact phone number (813) 443-5530.

The enumeration date for this NPI number is 12/11/2020 and was last updated on 9/14/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral HealthNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)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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