Achieve Wellness Group LLC
Psychologist, Clinical in Tampa, FL. Organization (NPI-2).
NPI number1669619342
StatusActive
Last updated in NPPESMar 9, 2011
Details
- NPI
- 1669619342
- Entity type
- Organization (NPI-2)
- Legal business name
- Achieve Wellness Group LLC
- Organization subpart
- No
- Enumeration date
- Jan 16, 2009
- Last updated
- Mar 9, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | – | – | Yes |
| 1041C0700X | Social Worker, Clinical | – | – |
Practice location
13039 W Linebaugh AveBuilding V, Suite 101
Tampa, FL 33626-4483
Phone 888-531-1313 · Fax 888-551-6035
Mailing address
13039 W Linebaugh AveBuilding V, Suite 101
Tampa, FL 33626-4483
Phone 888-531-1313 · Fax 888-551-6035
Authorized official
Lisa Iannelli Correa
President
8885311313
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