Organization
KRIS MULHOLLEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRIS REBECCA MULHOLLEN MA, LMHC (LICENSED MENTAL HEALTH COUNSELOR)
(813) 618-3150
Entity
Organization
Contact information
Practice address
1200 W PLATT ST STE 202, TAMPA, FL 33606-2136
(813) 618-3150
Mailing address
5124 FALLEN LEAF DR, RIVERVIEW, FL 33578-4738
(813) 618-3150
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/15/2020
Last updated
04/15/2020
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