| Exploration Counseling: Therapy & Behavior Modification Services | |
|
10335 Cross Creek Blvd Tampa FL 33647-2795 | |
| (813) 399-4605 | |
| Not Available |
| Full Name | Exploration Counseling: Therapy & Behavior Modification Services |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 10335 Cross Creek Blvd, Tampa, Florida |
| Authorized Official Name and Position | Tatessica Cooley (LICENSED MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 8133994605 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Exploration Counseling: Therapy & Behavior Modification Services 9641 Norchester Cir Tampa FL 33647-1849 Ph: (813) 399-4605 | Exploration Counseling: Therapy & Behavior Modification Services 10335 Cross Creek Blvd Tampa FL 33647-2795 Ph: (813) 399-4605 |
| NPI Number | 1306377551 |
|---|---|
| Provider Enumeration Date | 03/21/2017 |
| Last Update Date | 03/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306377551 | NPI | - | NPPES |
| 1669854857 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH14939 (Florida) | Primary |
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