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NPI Code Detail

MEDICARE: STACY RAFFINGTON

MEDICARE: STACY RAFFINGTON
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 CounselorMH19944FL

General Provider Information

NPI Number : 1629720529
Entity Type Code : Individual
Provider Name (Legal Business Name) : STACY RAFFINGTON
Provider Business Mailing Address
First Line : 7823 N DALE MABRY HWY STE 106
Second Line :
City : TAMPA
State : FL
Zip : 33614-3273
Country : US
Telephone Number : 813-570-5803
Fax Number : 813-550-1412
Provider Business Practice Location Address
First Line : 110 S MACDILL AVE STE 300
Second Line :
City : TAMPA
State : FL
Zip : 33609-3589
Country : US
Telephone Number : 813-876-7073
Fax Number : 813-877-1277
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2022
Last Update Date : 12/22/2025

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Directions to “ STACY RAFFINGTON ” Practice Location

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