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NPI Code Detail

MEDICARE: PATRICIA CASANAS LMHC LLC

MEDICARE: PATRICIA CASANAS LMHC LLC
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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1073128278
Entity Type Code : Organization
Provider Name (Legal Business Name) : PATRICIA CASANAS LMHC LLC
Provider Business Mailing Address
First Line : 3825 HENDERSON BLVD STE 405
Second Line :
City : TAMPA
State : FL
Zip : 33629-5012
Country : US
Telephone Number : 786-333-2626
Fax Number :
Provider Business Practice Location Address
First Line : 3825 HENDERSON BLVD STE 405
Second Line :
City : TAMPA
State : FL
Zip : 33629-5012
Country : US
Telephone Number : 813-421-3435
Fax Number :
Authorized Official
Title or Position : OWNER
Name : PATRICIA CASANAS
Credential : LMHC
Telephone Number : 786-333-2626
Provider Enumeration Date : 09/14/2020
Last Update Date : 01/25/2023

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Directions to “PATRICIA CASANAS LMHC LLC ” Practice Location

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