| Wonderland Consulting And Counseling Services Llc | |
|
5471 W Waters Ave Ste 300 Tampa FL 33634-1253 | |
| (813) 512-6147 | |
| (813) 512-6129 |
| Full Name | Wonderland Consulting And Counseling Services Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5471 W Waters Ave Ste 300, Tampa, Florida |
| Authorized Official Name and Position | Priscilla E Molina (MANAGER) |
| Authorized Official Contact | 9178582003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wonderland Consulting And Counseling Services Llc 5471 W Waters Ave Ste 300 Tampa FL 33634-1253 Ph: (813) 512-6147 | Wonderland Consulting And Counseling Services Llc 5471 W Waters Ave Ste 300 Tampa FL 33634-1253 Ph: (813) 512-6147 |
| NPI Number | 1881347458 |
|---|---|
| Provider Enumeration Date | 02/02/2022 |
| Last Update Date | 02/02/2022 |
| Certification Date | 02/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881347458 | NPI | - | NPPES |
| 1871550509 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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