MEDICARE: ALIYA K LITTLE

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
2	101YM0800X	Mental Health Counselor	17265	FL

General Provider Information

NPI Number	:	1912559444
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALIYA K LITTLE

Provider Business Mailing Address
First Line	:	14915 ARBOR SPRINGS CIR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33624-2392
Country	:	US
Telephone Number	:	813-816-1083
Fax Number	:

Provider Business Practice Location Address
First Line	:	14915 ARBOR SPRINGS CIR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33624-2392
Country	:	US
Telephone Number	:	813-816-1083
Fax Number	:

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

Provider Enumeration Date	:	07/15/2019
Last Update Date	:	06/27/2023

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