Organization
ACHIEVE WELLNESS GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA IANNELLI CORREA PSYD (PRESIDENT)
(888) 531-1313
Entity
Organization
Contact information
Practice address
13039 W LINEBAUGH AVE, BUILDING V, SUITE 101, TAMPA, FL 33626-4483
(888) 531-1313
(888) 551-6035
Mailing address
13039 W LINEBAUGH AVE, BUILDING V, SUITE 101, TAMPA, FL 33626-4483
(888) 531-1313
(888) 551-6035
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
01/16/2009
Last updated
03/09/2011
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