Individual
ALICIA EDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
4100 W KENNEDY BLVD, TAMPA, FL 33609
(813) 340-6955
Mailing address
2617 W PROSPECT RD, TAMPA, FL 33629-5357
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13736
FL
101YM0800X
Mental Health Counselor
LH60805973
WA
Other
Enumeration date
11/30/2012
Last updated
08/02/2018
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