| Tracy Hampton, Llc | |
|
3825 Henderson Blvd Suite 405 Tampa FL 33629-5037 | |
| (813) 504-4830 | |
| Not Available |
| Full Name | Tracy Hampton, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 3825 Henderson Blvd, Tampa, Florida |
| Authorized Official Name and Position | Tracy Anne Hampton (OWNER) |
| Authorized Official Contact | 8135044830 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy Hampton, Llc 5119 W Poe Ave Tampa FL 33629-7526 Ph: (813) 495-7363 | Tracy Hampton, Llc 3825 Henderson Blvd Suite 405 Tampa FL 33629-5037 Ph: (813) 504-4830 |
| NPI Number | 1326295668 |
|---|---|
| Provider Enumeration Date | 08/19/2008 |
| Last Update Date | 01/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326295668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MT 2292 (Florida) | Primary |
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