Healthcare Provider Details

I. General information

NPI: 1578987103
Provider Name (Legal Business Name): TINA MARIE SUAREZ LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. TINA MARIE HALL

II. Dates (important events)

Enumeration Date: 02/18/2014
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13000 BRUCE B DOWNS BLVD
TAMPA FL
33612-4745
US

IV. Provider business mailing address

7549 STONEBROOK CIR
WESLEY CHAPEL FL
33545-2216
US

V. Phone/Fax

Practice location:
  • Phone: 813-972-2000
  • Fax:
Mailing address:
  • Phone: 239-313-9796
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH13752
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberIMH10587
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: