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Organization
MANTRA COUNSELING, LLC
Active
Organization
MANTRA COUNSELING, LLC
Active
Other names
Amy Datla
Organization subpart
No
Provider details
NPI number
Authorized official
AMY LANIER DATLA LMHC,LMFT,CAP,DCC,NC (OWNER)
(352) 262-2163
Entity
Organization
Contact information
Practice address
4230 SOUTH MACDILL AVE, SUITE 209, TAMPA, FL 33611-2912
(813) 808-1956
(888) 977-1272
Mailing address
4230 SOUTH MACDILL AVE, SUITE 209, TAMPA, FL 33611-2912
(813) 808-1956
(888) 977-1272
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH 8831
FL
106H00000X
Marriage & Family Therapist
MT 2809
FL
Other
Enumeration date
04/05/2013
Last updated
10/31/2016
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