| Tampa Bay Clinical Counseling Group Pllc | |
|
408 W Renfro St Ste 107f Plant City FL 33563-5298 | |
| (813) 734-5672 | |
| Not Available |
| Full Name | Tampa Bay Clinical Counseling Group Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 408 W Renfro St Ste 107f, Plant City, Florida |
| Authorized Official Name and Position | Joel M Laatsch (OWNER) |
| Authorized Official Contact | 8137345672 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tampa Bay Clinical Counseling Group Pllc 408 W Renfro St Ste 107f Plant City FL 33563-5298 Ph: (813) 734-5672 | Tampa Bay Clinical Counseling Group Pllc 408 W Renfro St Ste 107f Plant City FL 33563-5298 Ph: (813) 734-5672 |
| NPI Number | 1932656329 |
|---|---|
| Provider Enumeration Date | 09/02/2016 |
| Last Update Date | 09/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932656329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YS0200X | Counselor - School | 768543 (Florida) | Secondary |
| 101YM0800X | Counselor - Mental Health | MH 13522 (Florida) | Primary |
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