# KRIS MULHOLLEN LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902425390
- **Authorized official:** MRS. KRIS REBECCA MULHOLLEN MA, LMHC (LICENSED MENTAL HEALTH COUNSELOR)
- **Authorized official phone:** (813) 618-3150

## Contact information

- **Practice address:** 1200 W PLATT ST STE 202, TAMPA, FL 33606-2136
- **Practice address phone:** (813) 618-3150
- **Mailing address:** 5124 FALLEN LEAF DR, RIVERVIEW, FL 33578-4738
- **Mailing address phone:** (813) 618-3150

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/15/2020
- **Last updated:** 04/15/2020