Organization
SOUTH TAMPA THERAPY AND WELLNESS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YVETTE TUCHOLSKI-DEKELES LMHC (PRESIDENT)
(813) 281-2177
Entity
Organization
Contact information
Practice address
3825 HENDERSON BLVD STE 304, TAMPA, FL 33629-5021
(813) 281-2177
Mailing address
3825 HENDERSON BLVD STE 304, TAMPA, FL 33629-5021
(813) 281-2177
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/07/2021
Last updated
03/08/2022
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