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NPI Code Detail

MEDICARE: MS. NATALIE REID GOMEZ LMHC

MEDICARE: MS. NATALIE REID GOMEZ LMHC
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 Counselor7128FL

General Provider Information

NPI Number : 1871661975
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. NATALIE REID GOMEZ LMHC
Provider Business Mailing Address
First Line : 5701 N FLORIDA AVE
Second Line :
City : TAMPA
State : FL
Zip : 33604-6913
Country : US
Telephone Number : 813-231-2311
Fax Number : 813-223-5249
Provider Business Practice Location Address
First Line : 5701 N FLORIDA AVE
Second Line :
City : TAMPA
State : FL
Zip : 33604-6913
Country : US
Telephone Number : 813-231-2311
Fax Number : 813-223-5249
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2006
Last Update Date : 07/08/2007

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