Individual provider · Type 1 NPI

Randall David Gainforth, LMHC

Mental Health Counselor · Tampa, FL

NPI number 1790920197 Active

Practice location

2111 W Swann Ave, Suite 104
Tampa, FL 33606-2477

Fax (813) 251-3614

Mailing address

5616 Oakland Dr
Tampa, FL 33617-7719

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH6489 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1790920197

Randall David Gainforth, LMHC's National Provider Identifier is 1790920197, issued on Dec 13, 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 Dec 13, 2008.