Individual provider · Type 1 NPI

Ebony Nicole Bonner, LMHC

Mental Health Counselor · Tampa, FL

NPI number 1245494459 Active

Practice location

16578 N Dale Mabry Hwy
Tampa, FL 33618-1325

Fax (813) 412-5525

Mailing address

4310 Metro Pkwy Ste 205
Fort Myers, FL 33916-9416

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X9497 (FL)
Mental Health Counselor Primary 101YM0800XMH9497 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1245494459

Ebony Nicole Bonner, LMHC's National Provider Identifier is 1245494459, issued on Jul 16, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tampa, FL. The record was last updated on Jun 30, 2023.