Organization
EDGE OF GREATNESS PSYCHOTHERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JESSICA FORERO LCSW (PSYCHOTHERAPIST)
(813) 451-5371
Entity
Organization
Contact information
Practice address
19143 LAKE AUDUBON DR, TAMPA, FL 33647-3233
(813) 451-5371
Mailing address
19143 LAKE AUDUBON DR, TAMPA, FL 33647-3233
(813) 451-5371
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/03/2025
Last updated
05/03/2025
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