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Organization

CHANGE THE NARRATIVE COUNSELING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VINCENT MALIK DEHILI PHD (LICENSED PSYCHOLOGIST)
(386) 852-8097
Entity
Organization

Contact information

Practice address
20417 BERRYWOOD LN, TAMPA, FL 33647-3476
(813) 816-2766
Mailing address
1936 BRUCE B DOWNS BLVD, PMB 174, WESLEY CHAPEL, FL 33544
(813) 816-2766

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
103TH0100X
Health Service Psychologist
103TP2701X
Group Psychotherapy Psychologist

Other

Enumeration date
06/23/2020
Last updated
06/23/2020
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