Individual
ELISA LEIAN TERRILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
14448 BRUCE B DOWNS BLVD, TAMPA, FL 33613-2612
(813) 701-2471
Mailing address
14448 BRUCE B DOWNS BLVD, TAMPA, FL 33613-2612
(813) 701-2471
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
IMT3749
FL
Other
Enumeration date
09/09/2022
Last updated
10/31/2024
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