Healthcare Provider Details

I. General information

NPI: 1457787798
Provider Name (Legal Business Name): CHRISTINE CLAIRE OSWALD M.A., LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2013
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16578 N DALE MABRY HWY
TAMPA FL
33618-1325
US

IV. Provider business mailing address

16578 N DALE MABRY HWY
TAMPA FL
33618-1325
US

V. Phone/Fax

Practice location:
  • Phone: 813-412-5504
  • Fax: 813-412-5525
Mailing address:
  • Phone: 813-412-5504
  • Fax: 813-412-5525

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH16054
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: