Organization
EXPRESSIONS THERAPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA ANIOCE-ANDRE LMHC (THERAPIST)
(813) 843-4645
Entity
Organization
Contact information
Practice address
10203 COUNT FLEET DR, RUSKIN, FL 33573-6774
(813) 448-1237
(813) 448-1237
Mailing address
10203 COUNT FLEET DR, RUSKIN, FL 33573-6774
(813) 843-4645
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MH17911
LICENSE
FL
Enumeration date
06/12/2020
Last updated
09/26/2024
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