Healthcare Provider Details

I. General information

NPI: 1457264327
Provider Name (Legal Business Name): DELANIE SUBSTANCE ABUSE COUNSELING & WELLNESS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 E KENNEDY BLVD STE 1400
TAMPA FL
33602-5246
US

IV. Provider business mailing address

501 E KENNEDY BLVD STE 1400
TAMPA FL
33602-5246
US

V. Phone/Fax

Practice location:
  • Phone: 813-944-7976
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: TANYA SAMUELS
Title or Position: CEO
Credential:
Phone: 813-944-7976