Organization · NPI-2
Expressions Therapy Center, LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) · Ruskin, FL
NPI number1154946358
StatusActive
Last updated in NPPESSep 26, 2024
Details
- NPI
- 1154946358
- Entity type
- Organization (NPI-2)
- Legal business name
- Expressions Therapy Center, LLC
- Organization subpart
- No
- Enumeration date
- Jun 12, 2020
- Certification date
- Sep 26, 2024
- Last updated
- Sep 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – |
Practice location
10203 Count Fleet DrRuskin, FL 33573-6774
Phone 813-448-1237 · Fax 813-448-1237
Mailing address
10203 Count Fleet DrRuskin, FL 33573-6774
Phone 813-843-4645
Authorized official
Diana Anioce-Andre
Therapist
8138434645
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