MEDICARE: LAS VILLAS COUNSELING SERVICES,INC

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	251S00000X	Community/Behavioral Health Agency	MH7905	FL

General Provider Information

NPI Number	:	1962689778
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAS VILLAS COUNSELING SERVICES,INC

Provider Business Mailing Address
First Line	:	6601 MEMORIAL HWY
Second Line	:	SUITE 212
City	:	TAMPA
State	:	FL
Zip	:	33615-4501
Country	:	US
Telephone Number	:	813-884-4543
Fax Number	:

Provider Business Practice Location Address
First Line	:	6601 MEMORIAL HWY
Second Line	:	SUITE 212
City	:	TAMPA
State	:	FL
Zip	:	33615-4501
Country	:	US
Telephone Number	:	813-884-4543
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MISS ODALYS MARIA DE ARMAS
Credential	:	LMHC
Telephone Number	:	813-884-4543

Provider Enumeration Date	:	01/23/2008
Last Update Date	:	05/06/2016

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