Organization · Type 2 NPI

Tampa LCSW Supervision, LLC

Mental Health Clinic/Center (Including Community Mental Health Center) · Tampa, FL

NPI number 1780372425 Active

Practice location

14021 N Dale Mabry Hwy
Tampa, FL 33618-2401

Mailing address

15710 Indian Queen Dr
Odessa, FL 33556-3013

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1780372425

Tampa LCSW Supervision, LLC's National Provider Identifier is 1780372425, issued on May 1, 2023. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Tampa, FL. The record was last updated on May 1, 2023.