MEDICARE: VALLE COUNSELING

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	4598	FL
2	101YM0800X	Mental Health Counselor	MH10808	FL
3	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center	2901	FL

General Provider Information

NPI Number	:	1477812113
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VALLE COUNSELING

Provider Business Mailing Address
First Line	:	9225 BAY PLAZA BLVD
Second Line	:	SUITE 418
City	:	TAMPA
State	:	FL
Zip	:	33619-4466
Country	:	US
Telephone Number	:	813-701-1234
Fax Number	:	813-489-2587

Provider Business Practice Location Address
First Line	:	9225 BAY PLAZA BLVD
Second Line	:	SUITE 418
City	:	TAMPA
State	:	FL
Zip	:	33619-4466
Country	:	US
Telephone Number	:	813-701-1234
Fax Number	:	813-489-2587

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	MR. FRANKIE ESTEBAN VALLE
Credential	:	LMHC, CAP
Telephone Number	:	813-630-4670

Provider Enumeration Date	:	05/15/2012
Last Update Date	:	07/21/2022

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Practice Location Address:

9225 BAY PLAZA BLVD
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33619-4466

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1881655280 — FARUK AYDIN M.D.
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1790914083 — MR. FRANKIE ESTEBAN VALLE LMHC, NCC, CAP, NCGC
Practice Location Address:

9225 BAY PLAZA BLVD , SUITE 418
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1639575475 — CARLY HURWITZ
Practice Location Address:

9225 BAY PLAZA BLVD , SUITE 401
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1326444894 — MEGAN CARDILLO
Practice Location Address:

9225 BAY PLAZA BLVD
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33619-4466

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1912399023 — ALEXANDRIA WHEELUS
Practice Location Address:

9225 BAY PLAZA BLVD , SUITE 401
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