| Black Mental Health Tampa Bay Llc | |
|
7402 N 56th St Ste 355 Tampa FL 33617-7700 | |
| (813) 451-4359 | |
| Not Available |
| Full Name | Black Mental Health Tampa Bay Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7402 N 56th St Ste 355, Tampa, Florida |
| Authorized Official Name and Position | Raveen Florence (LCSW) |
| Authorized Official Contact | 8134514359 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Black Mental Health Tampa Bay Llc 3975 Addlestone Ave Unit 113 Wesley Chapel FL 33543-5582 Ph: (813) 451-4359 | Black Mental Health Tampa Bay Llc 7402 N 56th St Ste 355 Tampa FL 33617-7700 Ph: (813) 451-4359 |
| NPI Number | 1528890126 |
|---|---|
| Provider Enumeration Date | 08/14/2024 |
| Last Update Date | 08/14/2024 |
| Certification Date | 08/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528890126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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