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NPI Code Detail

MEDICARE: MRS. THERESA MADELINE ROONEY-MALKY MA, NCC, LPC, LMHC

MEDICARE: MRS. THERESA MADELINE ROONEY-MALKY MA, NCC, LPC, 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 CounselorMH26602FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821652322
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. THERESA MADELINE ROONEY-MALKY MA, NCC, LPC, LMHC
Provider Business Mailing Address
First Line : 4107 W SPRUCE ST STE 100
Second Line :
City : TAMPA
State : FL
Zip : 33607-2346
Country : US
Telephone Number : 813-636-8811
Fax Number : 813-636-8855
Provider Business Practice Location Address
First Line : 4107 W SPRUCE ST STE 100
Second Line :
City : TAMPA
State : FL
Zip : 33607-2346
Country : US
Telephone Number : 813-636-8811
Fax Number : 813-636-8855
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/30/2019
Last Update Date : 12/11/2025

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1053462291 — SARAH KLEIN REID ARNP
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1194923169 — DR. DORIT GOLAN BREITER ARNP
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1700054053 — MS. ANDREA L BARRETO M.A.
Practice Location Address:
4107 W SPRUCE ST STE 100
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Practice Fax: 813-636-8855

Directions to “ MRS. THERESA MADELINE ROONEY-MALKY MA, NCC, LPC, LMHC” Practice Location

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