Individual provider · Type 1 NPI

Tracy Reenae Hardaway

Mental Health Counselor · St. Petersburg, FL

NPI number 1790384709 Active

Practice location

4024 Central Ave
St. Petersburg, FL 33711-1239

Call (727) 327-7656 Map

Mailing address

PO Box 10970
St. Petersburg, FL 33733-0970

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1790384709

Tracy Reenae Hardaway's National Provider Identifier is 1790384709, issued on Oct 21, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Petersburg, FL. The record was last updated on Oct 21, 2020.