Individual provider · Type 1 NPI

Alice Mendez Boullosa, M.S.W., L.M.F.T.

Marriage & Family Therapist · Tampa, FL

NPI number 1285946095 Active

Practice location

200 S Hoover Blvd, Bldg 200 Suite 100
Tampa, FL 33609-3540

Call (813) 789-6070 Map

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XMT0001228 (FL)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1285946095

Alice Mendez Boullosa, M.S.W., L.M.F.T.'s National Provider Identifier is 1285946095, issued on Jul 9, 2010. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Tampa, FL. The record was last updated on Jul 9, 2010.