Wyneisha Weller
Counselor, Mental Health in Tampa, FL. Individual provider (NPI-1).
NPI number1457092017
StatusActive
Last updated in NPPESApr 6, 2022
Details
- NPI
- 1457092017
- Entity type
- Individual (NPI-1)
- Name
- Wyneisha Weller
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 6, 2022
- Certification date
- Mar 23, 2022
- Last updated
- Apr 6, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | ISW16469 | FL | Yes |
Practice location
15310 Amberly Dr Ste 250Tampa, FL 33647-1642
Phone 813-308-9811
Mailing address
15310 Amberly Dr Ste 250Tampa, FL 33647-1642
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