Organization
BLACK MENTAL HEALTH TAMPA BAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAVEEN FLORENCE (LCSW)
(813) 451-4359
Entity
Organization
Contact information
Practice address
7402 N 56TH ST STE 355, TAMPA, FL 33617-7700
(813) 451-4359
Mailing address
3975 ADDLESTONE AVE UNIT 113, WESLEY CHAPEL, FL 33543-5582
(813) 451-4359
(813) 451-4359
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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