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Organization
WAYNE E. DAVIDSON, LMHC
Active
Organization
WAYNE E. DAVIDSON, LMHC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WAYNE EDWARD DAVIDSON LMHC (PRESIDENT)
(813) 979-0535
Entity
Organization
Contact information
Practice address
14921 W HARDY DR, TAMPA, FL 33613-1546
(813) 979-0535
(813) 304-0088
Mailing address
14921 W HARDY DR, TAMPA, FL 33613-1546
(813) 979-0535
(813) 975-9769
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001296600
—
FL
Enumeration date
05/09/2012
Last updated
12/22/2024
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