Individual provider · Type 1 NPI

Maisy Lee Phravoraxay, MSW

Mental Health Counselor · Clearwater, FL

NPI number 1104550482 Active

Practice location

2188 58th St N
Clearwater, FL 33760-3112

Mailing address

PO Box 10970
St. Petersburg, FL 33733-0970

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X29219 (MN)

Mental Health Counselor: Definition to come...

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About NPI 1104550482

Maisy Lee Phravoraxay, MSW's National Provider Identifier is 1104550482, issued on Jul 13, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Clearwater, FL. The record was last updated on Aug 1, 2022.