Organization · Type 2 NPI
Tiny Rebellion LLC
Mental Health Counselor · Pinellas Park, FL
NPI number
1619893377
Active
Practice location
7205 64th Way N
Pinellas Park, FL 33781-4027
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1619893377
Tiny Rebellion LLC's National Provider Identifier is 1619893377, issued on Jun 26, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pinellas Park, FL. The record was last updated on Jun 26, 2026.