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NPI Code Detail

MEDICARE: FARRAH PATRICIA ROBERTS LMHC

MEDICARE:   FARRAH PATRICIA ROBERTS  LMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorMH19758FL

General Provider Information

NPI Number : 1144985896
Entity Type Code : Individual
Provider Name (Legal Business Name) : FARRAH PATRICIA ROBERTS LMHC
Provider Business Mailing Address
First Line : 10810 BOYETTE RD # 2756
Second Line :
City : RIVERVIEW
State : FL
Zip : 33569-8000
Country : US
Telephone Number : 813-489-9979
Fax Number :
Provider Business Practice Location Address
First Line : 10810 BOYETTE RD # 2756
Second Line :
City : RIVERVIEW
State : FL
Zip : 33569-8000
Country : US
Telephone Number : 813-489-9979
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2021
Last Update Date : 05/29/2022

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Directions to “ FARRAH PATRICIA ROBERTS LMHC” Practice Location

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