| Proactive Solutions Therapy, Llc | |
|
2203 N Lois Ave Ste 961 Tampa FL 33607-2370 | |
| (813) 802-2025 | |
| Not Available |
| Full Name | Proactive Solutions Therapy, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2203 N Lois Ave, Tampa, Florida |
| Authorized Official Name and Position | Anthia Eliza Casanova (OWNER/THERAPIST) |
| Authorized Official Contact | 8138022025 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Proactive Solutions Therapy, Llc 8304 Riverboat Dr Tampa FL 33637-6580 Ph: (813) 802-2025 | Proactive Solutions Therapy, Llc 2203 N Lois Ave Ste 961 Tampa FL 33607-2370 Ph: (813) 802-2025 |
| NPI Number | 1609115427 |
|---|---|
| Provider Enumeration Date | 02/14/2013 |
| Last Update Date | 02/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609115427 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CAP 4805 (Florida) | Secondary |
| 101YM0800X | Counselor - Mental Health | MH 11051 (Florida) | Primary |
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