Selah Psychiatry And Wellness Corp.
Nurse Practitioner, Psych/Mental Health in Tampa, FL. Organization (NPI-2).
NPI number1962395889
StatusActive
Last updated in NPPESDec 17, 2025
Details
- NPI
- 1962395889
- Entity type
- Organization (NPI-2)
- Legal business name
- Selah Psychiatry And Wellness Corp.
- Organization subpart
- No
- Enumeration date
- May 30, 2025
- Certification date
- Dec 17, 2025
- Last updated
- Dec 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | Yes |
| 363LF0000X | Nurse Practitioner, Family | – | – |
Practice location
7520 W Waters Ave Ste 17Tampa, FL 33615-1599
Phone 585-957-0595
Mailing address
7520 W Waters Ave Ste 17Tampa, FL 33615-1599
Phone 585-957-0595
Authorized official
Rosana Rival Perez
Owner
5859570595
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