MEDICARE: CHARITA CHEEVER

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	MH25944	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1497461693	OTHER	FL	GROUP NPI

General Provider Information

NPI Number	:	1619863792
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARITA CHEEVER

Provider Business Mailing Address
First Line	:	8510 N ARMENIA AVE APT 1816
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33604-2555
Country	:	US
Telephone Number	:	614-530-1359
Fax Number	:

Provider Business Practice Location Address
First Line	:	1211 TECH BLVD STE 137
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33619-7845
Country	:	US
Telephone Number	:	813-435-9737
Fax Number	:

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

Provider Enumeration Date	:	06/16/2025
Last Update Date	:	06/16/2025

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Directions to “ CHARITA CHEEVER ” Practice Location

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