| Jill A. Cantrell, Lmhc, Pa | |
|
1006 W Platt St Tampa FL 33606-2116 | |
| (813) 505-3956 | |
| (833) 922-1072 |
| Full Name | Jill A. Cantrell, Lmhc, Pa |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1006 W Platt St, Tampa, Florida |
| Authorized Official Name and Position | Jill Anne Cantrell (LICENSED MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 8135053956 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jill A. Cantrell, Lmhc, Pa 5100 Burchette Rd Unit 905 Tampa FL 33647-1060 Ph: (813) 505-3956 | Jill A. Cantrell, Lmhc, Pa 1006 W Platt St Tampa FL 33606-2116 Ph: (813) 505-3956 |
| NPI Number | 1093209751 |
|---|---|
| Provider Enumeration Date | 06/18/2018 |
| Last Update Date | 12/12/2019 |
| Certification Date | 12/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093209751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MH9928 (Florida) | Primary |
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