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Organization
SUPPORTIVE THERAPY EMPOWERING PEOPLE, PLLC
Active
Organization
SUPPORTIVE THERAPY EMPOWERING PEOPLE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINALD VILMENAY LCSW (LCSW)
(813) 892-6203
Entity
Organization
Contact information
Practice address
220 W BRANDON BLVD, SUITE 203, BRANDON, FL 33511-5104
(813) 892-6203
(813) 381-3909
Mailing address
220 W BRANDON BLVD, SUITE 203, BRANDON, FL 33511-5104
(813) 892-6203
(813) 381-3909
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH9398
FL
1041C0700X
Clinical Social Worker
Primary
SW8425
FL
Other
Enumeration date
02/05/2014
Last updated
03/10/2014
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