Organization · NPI-2

Essential Connections Therapy PLLC

Clinic/Center, Mental Health (Including Community Mental Health Center) · Lutz, FL

NPI number1699551044
StatusActive
Last updated in NPPESSep 1, 2023

Details

NPI
1699551044
Entity type
Organization (NPI-2)
Legal business name
Essential Connections Therapy PLLC
Organization subpart
No
Enumeration date
Sep 1, 2023
Certification date
Sep 1, 2023
Last updated
Sep 1, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

16120 N Florida Ave
Lutz, FL 33549-6129

Phone 813-598-4332

Mailing address

2780 E Fowler Ave Ste 428
Tampa, FL 33612-6297

Phone 813-598-4332

Authorized official

Kimberly Ann Fielding-Maddison
Therapist
8135094332

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