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Organization

COUNSELING SERVICES OF TAMPA BAY

Active
Parent organization
BOURNE CONSULTING SERVICES LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
BOURNE CONSULTING SERVICES LLC
Authorized official
TRACEY BOURNE L.M.HC. (OWNER)
(727) 314-1224
Entity
Organization

Contact information

Practice address
13575 58TH ST N, SUITE 230, CLEARWATER, FL 33760-3740
(727) 314-1224
(727) 408-6811
Mailing address
13575 58TH ST N, #188, CLEARWATER, FL 33760-3740
(727) 314-1224
(727) 408-6811

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
02/03/2016
Last updated
10/24/2016
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