MEDICARE: CATRINA M. HARR

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	IMH20078	FL

General Provider Information

NPI Number	:	1356920755
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATRINA M. HARR

Provider Business Mailing Address
First Line	:	1211 TECH BLVD STE 121
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33619-7846
Country	:	US
Telephone Number	:	863-800-0365
Fax Number	:

Provider Business Practice Location Address
First Line	:	1211 TECH BLVD STE 121
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33619-7846
Country	:	US
Telephone Number	:	863-800-0365
Fax Number	:

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

Provider Enumeration Date	:	04/05/2021
Last Update Date	:	07/12/2023

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