Organization
REBORN COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY JEFFERSON LCSW (THERAPIST/OWNER)
(813) 445-3645
Entity
Organization
Contact information
Practice address
14428 BRUCE B DOWNS BLVD, TAMPA, FL 33613-2612
(813) 445-3645
Mailing address
14428 BRUCE B DOWNS BLVD, TAMPA, FL 33613-2612
(813) 445-3645
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/21/2024
Last updated
07/16/2024
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