ANGELES COMMUNITY MENTAL HEALTH, LLC.


Address: 4710 N Habana Ave Ste 407, Tampa, FL 33614-7152
Phone: 8134428336

ANGELES COMMUNITY MENTAL HEALTH, LLC. (NPI# 1295369635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295369635
Entity Type Organization
Organization Name ANGELES COMMUNITY MENTAL HEALTH, LLC.
Practice Address 4710 N Habana Ave Ste 407
Tampa
FL 33614-7152
Practice Telephone 8134428336
Practice Fax Number 8134427188
Mailing Telephone 8134428336
Mailing Fax Number 8134427188
Enumeration Date 2020-02-25
Last Update Date 2020-02-25
Authorized Official Name LISBEL NOY (OWNER/CEO)
Authorized Official Telephone 8134428336
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TP2701X Psychologist
Specialization: Group Psychotherapy
Behavioral Health & Social Service Providers

Office Location

Street Address 4710 N HABANA AVE STE 407
City TAMPA
State FL
Zip Code 33614-7152

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1982128062 Jaime F Casellas Md Corp Internal Medicine 4600 N Habana Ave Suit #13, Tampa, FL 33614 2017-07-31
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1750811857 Syerita Nicole Morris Counselor 6800 N Dale Marby Hwy, Ste 164, Tampa, FL 33614 2017-06-13
1447786124 Lisa Moy Case Manager/Care Coordinator 4001 W. Dr. Martin Luther King Jr. Blvd., Tampa, FL 33614 2017-05-02
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Taxonomy Information

Taxonomy Code 103TP2701X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Group Psychotherapy

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: modified title]

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1124500301 Emily K. Gray, Mft, Inc. Psychologist 3615 Nw 13th St Ste B, Gainesville, FL 32609-2187 2018-09-04
1609363175 Liv Wellness Center LLC Psychologist 4949 S Congress Ave Ste E, Palm Springs, FL 33461-4731 2018-04-19
1871005546 The Toby Center for Family Transitions, Inc. Psychologist 100 E Linton Blvd Ste 104b, Delray Beach, FL 33483-3340 2017-11-02
1942711759 Ella Raphaelle Dufrene Psychologist 3244 West Trade Ave. #1, Miami, FL 33133 2017-10-19
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Competitor

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City TAMPA
Zip Code 33614

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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