Individual
SERRA PALANTEKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2806 N ARMENIA AVE, TAMPA, FL 33607
(813) 964-1964
(813) 868-3996
Mailing address
14901 CRISIS CENTER PLAZA, TAMPA, FL 33613
(813) 964-1964
(813) 868-3996
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MH18918
FL
101YM0800X
Mental Health Counselor
MH18918
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18152200
—
FL
Enumeration date
02/03/2022
Last updated
02/08/2022
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