Organization
TAMPA LIFE CHANGE
Active
Organization
TAMPA LIFE CHANGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANIESA SCHNEBERGER LMHC (THERAPIST)
(813) 333-1425
Entity
Organization
Contact information
Practice address
720 W DR MARTIN LUTHER KING JR BLVD, SUITE B, TAMPA, FL 33603-3134
(813) 333-1425
Mailing address
720 W DR MARTIN LUTHER KING JR BLVD, SUITE B, TAMPA, FL 33603-3134
(813) 333-1425
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
MH12974
FL
Other
Enumeration date
11/04/2015
Last updated
11/04/2015
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