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General NPI Number Information
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NPI Number | 1538484738
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Entity Type | Organization
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Legal Business Name | PSYCHOTHERAPY ASSOCIATES OF TAMPA BAY, L.L.C.
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Dates
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Enumeration Date | 03/30/2010
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Last Update Date | 07/28/2020
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Provider Practice Location Address
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Address Line | 27524 CASHFORD CIR STE 102
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-6947
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Country | US
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Telephone | 888-636-1306
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Fax | 888-636-1306
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Provider Business Mailing Address
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Address Line | 27524 CASHFORD CIR STE 102
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-6947
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Country | US
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Telephone | 888-636-1306
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Fax | 888-909-0051
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Authorized Official
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Title or Position | OWNER
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Name | DR. JESSICA LEIGH TOMMASI
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Credential | EDD, LMHC
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Telephone | 888-636-1306
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH 8137
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License Number State | FL
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