Organization
LIFE FOCUS GROUP OF TAMPA BAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MINDY HUELLE LCSW (OWNER/OPERATOR)
(813) 210-0394
Entity
Organization
Contact information
Practice address
1202 TECH BLVD, TAMPA, FL 33619-7871
(813) 210-0394
Mailing address
1202 TECH BLVD, TAMPA, FL 33619-7871
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
SW8858
FL
Other
Enumeration date
07/21/2009
Last updated
07/21/2009
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