KRIS MULHOLLEN LLC (NPI# 1902425390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902425390 |
| Entity Type | Organization |
| Organization Name | KRIS MULHOLLEN LLC |
| Practice Address |
1200 W Platt St Ste 202 Tampa FL 33606-2136 |
| Mailing Address |
5124 Fallen Leaf Dr Riverview FL 33578-4738 |
| Practice Telephone | 8136183150 |
| Mailing Telephone | 8136183150 |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2020-04-15 |
| Authorized Official Name | MRS. KRIS REBECCA MULHOLLEN (LICENSED MENTAL HEALTH COUNSELOR) |
| Authorized Official Telephone | 8136183150 |
| Authorized Official Credential | MA, LMHC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
1200 W PLATT ST STE 202 |
| City | TAMPA |
| State | FL |
| Zip Code | 33606-2136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265986418 | Diana Harris Johnson | Counselor | 1200 W Platt St Ste 202, Tampa, FL 33606-2136 | 2016-08-04 |
| 1235798315 | Mosaic Wellness Collective, LLC | Clinic/Center | 1200 W Platt St Ste 202, Tampa, FL 33606-2136 | 2019-06-11 |
| 1407412075 | Healthy Mind, Corp | Clinic/Center | 1200 W Platt St Ste 202, Tampa, FL 33606-2136 | 2019-05-19 |
| 1427557032 | Jessica Watson Counseling, LLC | Social Worker | 1200 W Platt St Ste 202, Tampa, FL 33606-2136 | 2018-02-08 |
| 1598264889 | Thrive & Well, LLC | Counselor | 1200 W Platt St Ste 202, Tampa, FL 33606-2136 | 2018-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235758749 | Seyed Shayan Ahmad Falasiri | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd. #308, Tampa, FL 33606 | 2020-04-14 |
| 1174156400 | Jessica Styles | Specialist/Technologist | The University of Tampa, 401 W. Kennedy Blvd, Tampa, FL 33606 | 2020-02-14 |
| 1295389757 | David Green | Specialist/Technologist | 401 W. Kennedy Blvd Box: I, Tampa, FL 33606 | 2019-08-01 |
| 1417514720 | Four Winds Counseling LLC | Counselor | 611 West Bay Street, Tampa, FL 33606 | 2019-05-22 |
| 1699238014 | Azubuogu Charles Anudu | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd., Suite 308 Tampa, Fl 33606, Tampa, FL 33606 | 2019-04-11 |
| 1508327883 | D'arcy Jocelyn Arden Wainwright | Student in an Organized Health Care Education/Training Program | 17 David Blvd., Suite 308, Tampa, FL 33606 | 2019-03-28 |
| 1659851772 | Heather Widmer | Counselor | 202 N Howard Ave, Tampa, FL 33606 | 2018-08-17 |
| 1447737291 | Jonathan T Bell | Marriage & Family Therapist | 425 S. Orleans Ave, Tampa, FL 33606 | 2018-07-24 |
| 1184157539 | Alexander Lim | Student in an Organized Health Care Education/Training Program | 17 David Blvd, Suite 308, Tampa, FL 33606 | 2017-04-04 |
| 1760913057 | Melanie Loretta Bradley | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd. Suite 308, University of South Florida, Morsani College of Medicin, Tampa, FL 33606 | 2017-03-27 |
| Find all providers in zip 33606 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
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| 1841803210 | A Little H.o.p.e. LLC | Clinic/Center | 501 N Reo St, Tampa, FL 33609-1012 | 2020-08-26 |
| 1851912489 | Come Get Help | Clinic/Center | 11928 Sheldon Rd, Tampa, FL 33626-3643 | 2020-05-05 |
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| 1164807749 | Nueva Vida Behavior Center of Tampa,inc. | Clinic/Center | 215 E Sligh Ave, Tampa, FL 33604 | 2015-07-24 |
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| 1821595281 | Inspirations Youth Academy LLC | Clinic/Center | 757 South East 17th Street, Fort Lauderdale, FL 33316-2960 | 2018-04-11 |
| 1558867341 | All Star Children's Foundation | Clinic/Center | 3308 17th St, Sarasota, FL 34235-8904 | 2018-04-02 |
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| 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.