Organization
LARA HEALTH AND WELLNESS CENTER LLC
Active
Other names
Lara Health and Wellness Center, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
YONAIKA LARA (OWNER)
(813) 415-2982
Entity
Organization
Contact information
Practice address
3105 W WATERS AVE STE 105, TAMPA, FL 33614-2846
(813) 443-0705
(813) 415-2982
Mailing address
3105 W WATERS AVE STE 105, TAMPA, FL 33614-2846
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
01/30/2020
Last updated
02/07/2020
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