| Ibis Healthcare Inc | |
|
5707 N. 22nd Street Tampa FL 33610-4350 | |
| (813) 239-8069 | |
| (813) 231-7324 |
| Full Name | Ibis Healthcare Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 5707 N. 22nd Street, Tampa, Florida |
| Authorized Official Name and Position | Roaya Tyson (CEO) |
| Authorized Official Contact | 8132398088 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ibis Healthcare Inc 5707 N 22nd St Tampa FL 33610-4350 Ph: (813) 239-8069 | Ibis Healthcare Inc 5707 N. 22nd Street Tampa FL 33610-4350 Ph: (813) 239-8069 |
| NPI Number | 1346224011 |
|---|---|
| Provider Enumeration Date | 12/06/2005 |
| Last Update Date | 01/14/2026 |
| Certification Date | 01/14/2026 |
| Medicare PECOS PAC ID | 2769469204 |
|---|---|
| Medicare Enrollment ID | O20040702000312 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346224011 | NPI | - | NPPES |
| 060272800 | Medicaid | FL | |
| 060272801 | Medicaid | FL | |
| 21336 | Medicaid | FL | |
| 060272806 | Medicaid | FL | |
| 227811 | Medicaid | FL | |
| 060272805 | Medicaid | FL | |
| 060272815 | Medicaid | FL | |
| 0827999 | Medicaid | FL |
| Provider Name | Nicole R Robichaux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871600775 PECOS PAC ID: 6800854308 Enrollment ID: I20041230000326 |
| Provider Name | Susan L Murray |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205933918 PECOS PAC ID: 7810901584 Enrollment ID: I20060201000809 |
| Provider Name | Nirmala Apte |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740387463 PECOS PAC ID: 5597748418 Enrollment ID: I20060228000535 |
| Provider Name | Quamrul H Chowdhury |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386741007 PECOS PAC ID: 2668481532 Enrollment ID: I20060420000581 |
| Provider Name | Isis V Marrero |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578501862 PECOS PAC ID: 4587755376 Enrollment ID: I20070808000517 |
| Provider Name | Vashaun O Williams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730286527 PECOS PAC ID: 0547356883 Enrollment ID: I20071017000651 |
| Provider Name | Nieves Iglesias |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467462226 PECOS PAC ID: 2163596057 Enrollment ID: I20080812000042 |
| Provider Name | Payan Pancholy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912197278 PECOS PAC ID: 0446326524 Enrollment ID: I20080915000362 |
| Provider Name | Diana Lea Oneil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982861720 PECOS PAC ID: 3173690856 Enrollment ID: I20080922000530 |
| Provider Name | Harris E Feinstein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396893624 PECOS PAC ID: 5890832372 Enrollment ID: I20091103000158 |
| Provider Name | Alan D Feldman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922108968 PECOS PAC ID: 0840339404 Enrollment ID: I20091120000459 |
| Provider Name | Maura A Sampson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235247701 PECOS PAC ID: 9931231917 Enrollment ID: I20100712000250 |
| Provider Name | Anjali Nirmalani Gandhy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265531719 PECOS PAC ID: 7719002724 Enrollment ID: I20100914001350 |
| Provider Name | Stephanie M Lockett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629032073 PECOS PAC ID: 5991799173 Enrollment ID: I20110401000617 |
| Provider Name | Theresa V Ruano |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578694824 PECOS PAC ID: 8325225402 Enrollment ID: I20110527000456 |
| Provider Name | Sharad R Lakdawala |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194774687 PECOS PAC ID: 7911175039 Enrollment ID: I20110720000608 |
| Provider Name | Alicia Lashawn Parks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770868796 PECOS PAC ID: 5698932606 Enrollment ID: I20120202000666 |
| Provider Name | Kinshuk Bose |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598925497 PECOS PAC ID: 7517116700 Enrollment ID: I20121003000516 |
| Provider Name | David A Dada |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558637363 PECOS PAC ID: 7911142567 Enrollment ID: I20130402000130 |
| Provider Name | Audrey L Crider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760739155 PECOS PAC ID: 6305077009 Enrollment ID: I20140321001576 |
| Provider Name | Nicole C Riddell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750476537 PECOS PAC ID: 2062559644 Enrollment ID: I20140409001350 |
| Provider Name | Demian F Obregon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801058250 PECOS PAC ID: 7911174594 Enrollment ID: I20140512000907 |
| Provider Name | Jesus M. Gil-gutierrez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942548052 PECOS PAC ID: 4385860162 Enrollment ID: I20140731001180 |
| Provider Name | Roberto S Lluch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790879898 PECOS PAC ID: 9234356726 Enrollment ID: I20140806001903 |
| Provider Name | Kathryn M Syed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700173440 PECOS PAC ID: 1658507041 Enrollment ID: I20140915002611 |
| Provider Name | George B Bishai |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689803421 PECOS PAC ID: 5890916357 Enrollment ID: I20141027000339 |
| Provider Name | Mary Sheehan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407869829 PECOS PAC ID: 4688996127 Enrollment ID: I20141211001060 |
| Provider Name | Felix Nicolas Rodriguez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235577164 PECOS PAC ID: 5092038513 Enrollment ID: I20150107002524 |
| Provider Name | Olamiju Olaleye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891113932 PECOS PAC ID: 2062630437 Enrollment ID: I20150213000580 |
| Provider Name | Glenn W Currier |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194753012 PECOS PAC ID: 0446439772 Enrollment ID: I20150807013809 |
| Provider Name | Sara V Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982072922 PECOS PAC ID: 8022326214 Enrollment ID: I20151008001041 |
| Provider Name | Nilsa De Jesus Rosario |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134448095 PECOS PAC ID: 4385949924 Enrollment ID: I20160219001184 |
| Provider Name | Patricia Michel-garrison |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891030813 PECOS PAC ID: 1658659107 Enrollment ID: I20161103001042 |
| Provider Name | Mary L Marrero |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073950887 PECOS PAC ID: 4284912601 Enrollment ID: I20161104001261 |
| Provider Name | Ana Maria Borrero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013289651 PECOS PAC ID: 0345529798 Enrollment ID: I20161108001306 |
| Provider Name | Shari L Kelsay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821436189 PECOS PAC ID: 7012297070 Enrollment ID: I20161208001008 |
| Provider Name | Ankita A Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477972446 PECOS PAC ID: 1759663735 Enrollment ID: I20170127000267 |
| Provider Name | Kristie Jetter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750624805 PECOS PAC ID: 2264718931 Enrollment ID: I20170411002648 |
| Provider Name | Jennifer K Wheeler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750764809 PECOS PAC ID: 3971891409 Enrollment ID: I20170603000289 |
| Provider Name | Maryam Nouhi Arbatani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255748182 PECOS PAC ID: 3779851530 Enrollment ID: I20170620000922 |
| Provider Name | Rocio Puentes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477997138 PECOS PAC ID: 0143501171 Enrollment ID: I20170825001106 |
| Provider Name | Bishoy Kolta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013456003 PECOS PAC ID: 7416223854 Enrollment ID: I20171030002203 |
| Provider Name | Amy M Hernandez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912315714 PECOS PAC ID: 9830457258 Enrollment ID: I20171212002918 |
| Provider Name | Ogugua Anene Maidoh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609212000 PECOS PAC ID: 3173881067 Enrollment ID: I20171226000711 |
| Provider Name | Narissa Etwaroo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790129617 PECOS PAC ID: 9335445394 Enrollment ID: I20180212000815 |
| Provider Name | Ashley Stewart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922419944 PECOS PAC ID: 5698036341 Enrollment ID: I20180221001122 |
| Provider Name | Tonya King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144756586 PECOS PAC ID: 0446513220 Enrollment ID: I20180409000498 |
| Provider Name | Ane Delly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699264747 PECOS PAC ID: 8325396039 Enrollment ID: I20180810002773 |
| Provider Name | Linh Phuong T Dinh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083068175 PECOS PAC ID: 6800146093 Enrollment ID: I20180910001864 |
| Provider Name | Madhurya Polavarapu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861888661 PECOS PAC ID: 1355681719 Enrollment ID: I20190321000236 |
| Provider Name | Joann O Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689140170 PECOS PAC ID: 0244570679 Enrollment ID: I20190322000076 |
| Provider Name | Grace Hyeiwon Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801214002 PECOS PAC ID: 7517292220 Enrollment ID: I20190717000622 |
| Provider Name | Latangra Mcintosh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831156298 PECOS PAC ID: 7719218643 Enrollment ID: I20191008001689 |
| Provider Name | Ray Padridin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285096412 PECOS PAC ID: 9032544887 Enrollment ID: I20200124000754 |
| Provider Name | Rebecca L Tucker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992342802 PECOS PAC ID: 7113353798 Enrollment ID: I20200129002255 |
| Provider Name | David J Page |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346885761 PECOS PAC ID: 0446688774 Enrollment ID: I20200319000489 |
| Provider Name | Zachary Zimko |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437508561 PECOS PAC ID: 6507294782 Enrollment ID: I20200323000883 |
| Provider Name | Christina Atilanie Ambroise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427614460 PECOS PAC ID: 7113356544 Enrollment ID: I20200406000800 |
| Provider Name | Daniel H Ringhoff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407163199 PECOS PAC ID: 6507289923 Enrollment ID: I20200701003326 |
| Provider Name | Suraj Modi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144756305 PECOS PAC ID: 1052684438 Enrollment ID: I20200921002191 |
| Provider Name | Ashley Celestin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104418060 PECOS PAC ID: 2860809365 Enrollment ID: I20210330000820 |
| Provider Name | Nakul Batra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568995306 PECOS PAC ID: 3476962499 Enrollment ID: I20210504001122 |
| Provider Name | Sarah E Diroff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124603493 PECOS PAC ID: 6608264635 Enrollment ID: I20211025002704 |
| Provider Name | Michael J Mazucci-mambala |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013556158 PECOS PAC ID: 9335537844 Enrollment ID: I20211102000670 |
| Provider Name | Francene Brannon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669721775 PECOS PAC ID: 9931599008 Enrollment ID: I20211203000677 |
| Provider Name | Emlyne St Helen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053785980 PECOS PAC ID: 4587964051 Enrollment ID: I20220124001702 |
| Provider Name | Chedelie Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083294375 PECOS PAC ID: 2365835196 Enrollment ID: I20220131001240 |
| Provider Name | Raymond Gonzales |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356837868 PECOS PAC ID: 2567858244 Enrollment ID: I20220405002482 |
| Provider Name | Sarah L Yankey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245726934 PECOS PAC ID: 5193105476 Enrollment ID: I20220705000048 |
| Provider Name | Daniel R Stehli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861989345 PECOS PAC ID: 0042691677 Enrollment ID: I20220713004332 |
| Provider Name | Walid Aziz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417374372 PECOS PAC ID: 5496045767 Enrollment ID: I20221018001781 |
| Provider Name | Yulier Fleitas Dominguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558837609 PECOS PAC ID: 1658601711 Enrollment ID: I20221025002904 |
| Provider Name | Olagoke M Kolapo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215406657 PECOS PAC ID: 9234463381 Enrollment ID: I20221214002201 |
| Provider Name | Fallon Page Shelton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720797301 PECOS PAC ID: 3476923251 Enrollment ID: I20230112001999 |
| Provider Name | Kendra C Ferrille |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255002176 PECOS PAC ID: 8628435229 Enrollment ID: I20230612003116 |
| Provider Name | Erin T Mcmahon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073177135 PECOS PAC ID: 6608237276 Enrollment ID: I20230728001661 |
| Provider Name | Derek E Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720771587 PECOS PAC ID: 4688038565 Enrollment ID: I20230911003001 |
| Provider Name | Andra Blackheart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043921612 PECOS PAC ID: 6305290446 Enrollment ID: I20230923000764 |
| Provider Name | Katherine Woo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558990440 PECOS PAC ID: 1850741422 Enrollment ID: I20231221003339 |
| Provider Name | Genevieve Locicero |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740528470 PECOS PAC ID: 6103269402 Enrollment ID: I20240202002985 |
| Provider Name | Reesha F Montgomery |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1932482296 PECOS PAC ID: 5294178877 Enrollment ID: I20240212000100 |
| Provider Name | Deborah C Bianchi |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1497090393 PECOS PAC ID: 8325483274 Enrollment ID: I20240229004580 |
| Provider Name | David E Kuck |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1730510777 PECOS PAC ID: 3173968989 Enrollment ID: I20240304001036 |
| Provider Name | Amanda Pasquince |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194580357 PECOS PAC ID: 4789024688 Enrollment ID: I20240425001562 |
| Provider Name | Nathalie Inelus |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285063222 PECOS PAC ID: 1557701489 Enrollment ID: I20240425002709 |
| Provider Name | Katherine J Reavis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083293864 PECOS PAC ID: 6406297092 Enrollment ID: I20240514002354 |
| Provider Name | Phekila D Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881137941 PECOS PAC ID: 6204278872 Enrollment ID: I20240528002998 |
| Provider Name | Cassandra M Castro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811347321 PECOS PAC ID: 7012245061 Enrollment ID: I20240604002963 |
| Provider Name | Veronica M Young |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912546706 PECOS PAC ID: 4688116668 Enrollment ID: I20240605002444 |
| Provider Name | Shannon D Coffey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679745921 PECOS PAC ID: 8527509249 Enrollment ID: I20240923000632 |
| Provider Name | Valerie A Rovinelli |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124264460 PECOS PAC ID: 8628509395 Enrollment ID: I20241004002322 |
| Provider Name | Nuanxin Leng |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669135562 PECOS PAC ID: 0648702399 Enrollment ID: I20241018001530 |
| Provider Name | Chase Fretto |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639913775 PECOS PAC ID: 3779016225 Enrollment ID: I20241023001219 |
| Provider Name | Gladys V Ugarte |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508156076 PECOS PAC ID: 1456884790 Enrollment ID: I20241025000656 |
| Provider Name | Crisitna Gutierrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306664040 PECOS PAC ID: 7810425527 Enrollment ID: I20250108004142 |
| Provider Name | Cesar Almanza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083337836 PECOS PAC ID: 0143740449 Enrollment ID: I20250217002439 |
| Provider Name | Allison N Losee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851116461 PECOS PAC ID: 0042731697 Enrollment ID: I20250311003421 |
| Provider Name | Cherish A Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164065199 PECOS PAC ID: 5395267710 Enrollment ID: I20250317000250 |
| Provider Name | Brooke K Dean |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275078594 PECOS PAC ID: 0446774566 Enrollment ID: I20250410002377 |
Avalon Behavior Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1190 E Washington St, Ph29, Tampa, FL 33602 Phone: 510-313-8290 | |
Varghese Kodiyan Pa Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 602 Shellcracker Ct, Tampa, FL 33613 Phone: 813-245-7326 | |
Tampa Life Counseling, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 13035 W. Linebaugh Ave #101 Ste G, Tampa, FL 33626 Phone: 813-906-8852 | |
Embracing Changes Center For Wellness Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4830 W Kennedy Blvd Ste 630, Tampa, FL 33609 Phone: 813-486-4920 Fax: 813-428-5756 | |
Vip Senior Wellness Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10115 Vista Pointe Dr, Tampa, FL 33635 Phone: 718-942-6595 | |
Perspective Solutions Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2111 W Swann Ave Ste 204, Tampa, FL 33606 Phone: 813-308-9417 | |
Marriage & Family Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1725 W Dr Martin Luther King Jr Blvd Ste 105, Tampa, FL 33607 Phone: 561-774-8225 Fax: 561-634-2776 |