Healthcare Provider Details

I. General information

NPI: 1992572713
Provider Name (Legal Business Name): BRIANA COUNIHAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/11/2023
Last Update Date: 04/18/2025
Certification Date: 04/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2995 DREW ST
CLEARWATER FL
33759-3012
US

IV. Provider business mailing address

12512 BRUCE B DOWNS BLVD
TAMPA FL
33612-9209
US

V. Phone/Fax

Practice location:
  • Phone: 813-977-8700
  • Fax:
Mailing address:
  • Phone: 727-820-8200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH23100
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: