DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MARY BLACKWELL

MEDICARE: MARY BLACKWELL
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 Counselor
2103K00000XBehavior Analyst

General Provider Information

NPI Number : 1619415254
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY BLACKWELL
Provider Business Mailing Address
First Line : 400 N TAMPA ST STE 1550
Second Line :
City : TAMPA
State : FL
Zip : 33602-4737
Country : US
Telephone Number : 484-408-4272
Fax Number :
Provider Business Practice Location Address
First Line : 400 N TAMPA ST STE 1550
Second Line :
City : TAMPA
State : FL
Zip : 33602-4737
Country : US
Telephone Number : 484-408-4272
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2017
Last Update Date : 03/02/2026

Similar Medicare Providers

1780182402 — MRS. COURTNEY BROOKE LINDER APRN
Practice Location Address:
400 N TAMPA ST STE 1550
TAMPA, FL
33602-4737
Practice Phone: 863-402-3429
Practice Fax: 863-402-3275
1396457511 — MS. SUHVANNA VICTORIA LAMAR
Practice Location Address:
400 N TAMPA ST STE 1550
TAMPA, FL
33602-4737
Practice Phone: 813-954-1107
Practice Fax:
1851286009 — BRIDGECONNECT PSYCHIATRY PLLC
Practice Location Address:
400 N TAMPA ST STE 1550
TAMPA, FL
33602-4737
Practice Phone: 407-620-8775
Practice Fax: 689-315-1283
1598636227 — EVERGREEN HEALTHCARE COOPERATION PLLC
Practice Location Address:
400 N TAMPA ST STE 1550
TAMPA, FL
33602-4737
Practice Phone: 917-428-8463
Practice Fax: 804-415-4040
1083583892 — RESTORATION RESILIENCE RENEWAL THERAPY LLC
Practice Location Address:
400 N TAMPA ST STE 1550
TAMPA, FL
33602-4737
Practice Phone: 972-914-8046
Practice Fax:
1164391579 — HAPPY TUMMY NUTRITION, LLC
Practice Location Address:
400 N TAMPA ST STE 1550
TAMPA, FL
33602-4737
Practice Phone: 813-590-7565
Practice Fax:

Directions to “ MARY BLACKWELL ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.