Individual
MS. ANTHIA CASANOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAP, LMHC
Contact information
Practice address
1936 W DR MARTIN LUTHER KING JR BLVD, STE 206, TAMPA, FL 33607-6500
(813) 802-2025
(888) 357-6132
Mailing address
8304 RIVERBOAT DR, TAMPA, FL 33637-6580
(813) 802-2025
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAP 4805
FL
101YM0800X
Mental Health Counselor
Primary
MH 11051
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
767925400
—
FL
Enumeration date
02/15/2007
Last updated
09/04/2014
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