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NPI Code Detail

MEDICARE: MARIA L. ESTES L.M.H.C.

MEDICARE:   MARIA L. ESTES  L.M.H.C.
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
1101YM0800XMental Health CounselorMH003562FL

General Provider Information

NPI Number : 1245353317
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA L. ESTES L.M.H.C.
Provider Business Mailing Address
First Line : PO BOX 48204
Second Line :
City : TAMPA
State : FL
Zip : 33647-0119
Country : US
Telephone Number : 813-615-9471
Fax Number : 813-631-9731
Provider Business Practice Location Address
First Line : 15310 AMBERLY DR
Second Line : SUITE 250
City : TAMPA
State : FL
Zip : 33647-2199
Country : US
Telephone Number : 813-615-9471
Fax Number : 813-631-9731
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2007
Last Update Date : 07/08/2007

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Directions to “ MARIA L. ESTES L.M.H.C.” Practice Location

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