Healthcare Provider Details

I. General information

NPI: 1730635798
Provider Name (Legal Business Name): LEAH CHRISTINE OBRINGER LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/30/2016
Last Update Date: 02/13/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1463 OAKFIELD DR SUITE 117
BRANDON FL
33511-3899
US

IV. Provider business mailing address

1463 OAKFIELD DR SUITE 117
BRANDON FL
33511-3899
US

V. Phone/Fax

Practice location:
  • Phone: 813-489-4547
  • Fax:
Mailing address:
  • Phone: 813-699-0661
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH11980
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: