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R.E.S.E.T. COUNSELING SERVICES LLC NPI 1699388744


NPI Information

NPI: 1699388744
Provider Name: R.E.S.E.T. COUNSELING SERVICES LLC
Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

Address:
1806 E HANNA AVE
TAMPA, FL
ZIP 33610
Phone: (201) 503-5642
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R.E.S.E.T. COUNSELING SERVICES LLC is an adolescent and children mental health clinic center in Tampa, FL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. R.E.S.E.T. COUNSELING SERVICES LLC NPI is 1699388744. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1806 E HANNA AVE
TAMPA, FL
ZIP 33610-543
Phone: (201) 503-5642

The provider's authorized official is Tijuan Malcolm Grimes .
The authorized official title is License Mental Health Counselor and has the following contact phone number (201) 503-5642.

The enumeration date for this NPI number is 8/28/2020 and was last updated on 8/28/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthNo
2261QM0850XClinic/CenterAdult Mental HealthNo
3261QM0855XClinic/CenterAdolescent and Children Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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