Healthcare Provider Details

I. General information

NPI: 1124264460
Provider Name (Legal Business Name): VALERIE A ROVINELLI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/16/2008
Last Update Date: 10/31/2025
Certification Date: 10/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6913 ELDORADO DR
TAMPA FL
33615-2929
US

IV. Provider business mailing address

6913 ELDORADO DR
TAMPA FL
33615-2929
US

V. Phone/Fax

Practice location:
  • Phone: 813-507-6987
  • Fax:
Mailing address:
  • Phone: 813-507-6987
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH11257
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: