| My Therapist Julie, Inc. | |
|
3825 Henderson Blvd Suite 405 Tampa FL 33629-5037 | |
| (813) 858-7663 | |
| (239) 307-2395 |
| Full Name | My Therapist Julie, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 3825 Henderson Blvd, Tampa, Florida |
| Authorized Official Name and Position | Julie Goddard Martin (PRESIDENT) |
| Authorized Official Contact | 8138587663 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Therapist Julie, Inc. 1710 W Fore Dr Tampa FL 33612-5022 Ph: (813) 858-7663 | My Therapist Julie, Inc. 3825 Henderson Blvd Suite 405 Tampa FL 33629-5037 Ph: (813) 858-7663 |
| NPI Number | 1750832069 |
|---|---|
| Provider Enumeration Date | 10/21/2016 |
| Last Update Date | 10/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750832069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | MH11025 (Florida) | Primary |
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