MEDICARE: MS. TINA SAUNDERS LMHC, CAP

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	101YP2500X	Professional Counselor	MH8071	FL

General Provider Information

NPI Number	:	1831479120
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TINA SAUNDERS LMHC, CAP

Provider Business Mailing Address
First Line	:	600 SW 3RD ST STE 51000
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33060-6932
Country	:	US
Telephone Number	:	954-347-0651
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 SW 3RD ST STE 51000
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33060-6932
Country	:	US
Telephone Number	:	954-347-0651
Fax Number	:

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

Provider Enumeration Date	:	08/18/2011
Last Update Date	:	02/14/2017

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