Organization
YOUR STORY COUNSELING AND WELLNESS LLC
Active
Organization
YOUR STORY COUNSELING AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICQUE L GREER MS, LMHC, LPC (OWNER/THERAPIST)
(814) 397-9910
Entity
Organization
Contact information
Practice address
707 E PATTERSON ST, TAMPA, FL 33604-4220
(814) 397-9910
Mailing address
PO BOX 8885, TAMPA, FL 33674-8885
(814) 397-9910
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386188464
NPI 1
—
Enumeration date
11/18/2020
Last updated
11/18/2020
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