TAMPA LIFE CHANGE NPI 1912370594

NPI Information

NPI: 1912370594
Provider Name: TAMPA LIFE CHANGE
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
720 W DR MARTIN LUTHER KING JR BLVD
SUITE B
TAMPA, FL
ZIP 33603
Phone: (813) 333-1425
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TAMPA LIFE CHANGE is an adult 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 adults. TAMPA LIFE CHANGE NPI is 1912370594. The provider is registered as an organization entity type.

The provider's business location address is:

720 W DR MARTIN LUTHER KING JR BLVD
SUITE B
TAMPA, FL
ZIP 33603-134
Phone: (813) 333-1425

The provider's authorized official is Aniesa Schneberger .
The authorized official title is Therapist and has the following contact phone number (813) 333-1425.

The enumeration date for this NPI number is 11/4/2015 and was last updated on 11/4/2015.

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
1	261QM0850X	Clinic/Center	Adult Mental Health	MH12974	FLORIDA	Yes

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

NPI Synchronization or Removal

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