Organization
TAMPA BAY ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BOBBY JEAN COOPER LMHC (THERAPIST)
(813) 677-6700
Entity
Organization
Contact information
Practice address
12012 BOYETTE RD, RIVERVIEW, FL 33569-5631
(813) 677-6700
(813) 671-3145
Mailing address
12012 BOYETTE RD, RIVERVIEW, FL 33569-5631
(813) 677-6700
(813) 671-3145
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MH9004
FL
Other
Enumeration date
05/16/2008
Last updated
05/16/2008
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