| Behavioral Wellness Consultants Llc | |
|
2512 W Virginia Ave Tampa FL 33607-6326 | |
| (813) 948-5898 | |
| (813) 948-5809 |
| Full Name | Behavioral Wellness Consultants Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2512 W Virginia Ave, Tampa, Florida |
| Authorized Official Name and Position | Otisha House (ADMINISTRATOR) |
| Authorized Official Contact | 8134033030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Wellness Consultants Llc 2512 W Virginia Ave Tampa FL 33607-6326 Ph: (813) 948-5898 | Behavioral Wellness Consultants Llc 2512 W Virginia Ave Tampa FL 33607-6326 Ph: (813) 948-5898 |
| NPI Number | 1912653783 |
|---|---|
| Provider Enumeration Date | 03/01/2022 |
| Last Update Date | 03/01/2022 |
| Certification Date | 03/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912653783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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