Organization
ACHIEVE WELLNESS GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA IANNELLI CORREA PSYD MBA (PRESIDENT)
(813) 261-5004
Entity
Organization
Contact information
Practice address
550 N REO ST STE 300, TAMPA, FL 33609-1037
(813) 261-5004
(813) 261-5008
Mailing address
550 N REO ST STE 300, TAMPA, FL 33609-1037
(813) 261-5004
(813) 261-5008
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY7601
FL
Other
Enumeration date
11/07/2008
Last updated
02/12/2009
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