Organization
BEN VYZAS LMHC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BEN MICHAEL VYZAS LMHC (PRESIDENT)
(813) 960-8622
Entity
Organization
Contact information
Practice address
16554 N DALE MABRY HWY, TAMPA, FL 33618-1325
(813) 960-8622
(813) 960-1554
Mailing address
16554 N DALE MABRY HWY, TAMPA, FL 33618-1325
(813) 960-8622
(813) 960-1554
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH0001886
FL
Other
Enumeration date
05/16/2014
Last updated
05/16/2014
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