Organization
WONDERLAND CONSULTING AND COUNSELING SERVICES LLC
Active
Other names
Wonderland Consulting and Counseling Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
PRISCILLA E MOLINA LMFT (MANAGER)
(917) 858-2003
Entity
Organization
Contact information
Practice address
5471 W WATERS AVE STE 300, TAMPA, FL 33634-1253
(813) 512-6147
(813) 512-6129
Mailing address
5471 W WATERS AVE STE 300, TAMPA, FL 33634-1253
(813) 512-6147
(813) 512-6129
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871550509
—
FL
Enumeration date
02/02/2022
Last updated
02/02/2022
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