MEDICARE: KARA NICOLE MOSTOWSKI

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

General Provider Information

NPI Number	:	1962161661
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARA NICOLE MOSTOWSKI

Provider Business Mailing Address
First Line	:	5633 GLENCREST BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33625-1008
Country	:	US
Telephone Number	:	813-545-2835
Fax Number	:

Provider Business Practice Location Address
First Line	:	3117 W COLUMBUS DR STE 206
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-1855
Country	:	US
Telephone Number	:	813-999-1046
Fax Number	:	813-898-8854

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

Provider Enumeration Date	:	12/10/2021
Last Update Date	:	12/10/2021

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Directions to “ KARA NICOLE MOSTOWSKI ” Practice Location

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