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NPI Code Detail

MEDICARE: MENTAL HEALTH CARE, INC

MEDICARE: MENTAL HEALTH CARE, INC
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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3E8EOTHERFLNEW DIRECTIONS

General Provider Information

NPI Number : 1184833311
Entity Type Code : Organization
Provider Name (Legal Business Name) : MENTAL HEALTH CARE, INC
Provider Business Mailing Address
First Line : 5707- N. 22ND STREET
Second Line :
City : TAMPA
State : FL
Zip : 33610-4350
Country : US
Telephone Number : 813-239-8069
Fax Number : 813-231-7324
Provider Business Practice Location Address
First Line : 2212 A-B E- HENRY AVE
Second Line :
City : TAMPA
State : FL
Zip : 33610-4350
Country : US
Telephone Number : 813-272-2878
Fax Number : 813-272-3766
Authorized Official
Title or Position : CEO
Name : ROAYA TYSON
Credential :
Telephone Number : 813-239-8088
Provider Enumeration Date : 05/22/2007
Last Update Date : 06/25/2025

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1629032073 — STEPHANIE LOCKETT M.D.
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1831156298 — LATANGRA M MCINTOSH APRN
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1134141690 — FULVIA RODRIGUEZ CONN MD
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1407869829 — MARY G SHEEHAN M.D.
Practice Location Address:
5707 N 22ND ST
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33610-4350
Practice Phone: 813-272-2244
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Directions to “MENTAL HEALTH CARE, INC ” Practice Location

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