MEDICARE: ODALYS MARIA DE ARMAS LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MH7905	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053598862
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ODALYS MARIA DE ARMAS LMHC

Provider Business Mailing Address
First Line	:	6601 MEMORIAL HWY
Second Line	:	SUITE 212
City	:	TAMPA
State	:	FL
Zip	:	33615-4501
Country	:	US
Telephone Number	:	813-884-4543
Fax Number	:

Provider Business Practice Location Address
First Line	:	6601 MEMORIAL HWY
Second Line	:	SUITE 212
City	:	TAMPA
State	:	FL
Zip	:	33615-4501
Country	:	US
Telephone Number	:	813-884-4543
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2008
Last Update Date	:	05/06/2016

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