Healthcare Provider Details

I. General information

NPI: 1831868264
Provider Name (Legal Business Name): BE YOUR BEST VERSION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2021
Last Update Date: 09/09/2021
Certification Date: 09/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14495 UNIVERSITY COVE PL
TAMPA FL
33613-3741
US

IV. Provider business mailing address

14495 UNIVERSITY COVE PL
TAMPA FL
33613-3741
US

V. Phone/Fax

Practice location:
  • Phone: 813-308-9335
  • Fax:
Mailing address:
  • Phone: 813-308-9335
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ZANDRA MICHEL
Title or Position: OWNER
Credential:
Phone: 509-845-9274