MEDICARE: MRS. GLAUCIA VIANNA MESSINGER 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
1	101YM0800X	Mental Health Counselor	MH 8325	FL

General Provider Information

NPI Number	:	1265528749
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. GLAUCIA VIANNA MESSINGER LMHC

Provider Business Mailing Address
First Line	:	8333 W MCNAB RD STE 212
Second Line	:
City	:	TAMARAC
State	:	FL
Zip	:	33321-3203
Country	:	US
Telephone Number	:	954-720-4350
Fax Number	:	954-720-1009

Provider Business Practice Location Address
First Line	:	8333 W MCNAB RD STE 212
Second Line	:
City	:	TAMARAC
State	:	FL
Zip	:	33321-3203
Country	:	US
Telephone Number	:	954-720-4350
Fax Number	:	954-720-1009

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	10/19/2021

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