Indigo Counseling Llc | |
3005 Lithia Pinecrest Rd Valrico FL 33596-5630 | |
(813) 603-8181 | |
Not Available |
Full Name | Indigo Counseling Llc |
---|---|
Speciality | Psychologist - Clinical Child & Adolescent |
Location | 3005 Lithia Pinecrest Rd, Valrico, Florida |
Authorized Official Name and Position | Katherine Blaire Pollak Fell (OWNER/CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 8136038181 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Indigo Counseling Llc 3005 Lithia Pinecrest Rd Valrico FL 33596-5630 Ph: (813) 603-8181 | Indigo Counseling Llc 3005 Lithia Pinecrest Rd Valrico FL 33596-5630 Ph: (813) 603-8181 |
NPI Number | 1578021655 |
---|---|
Provider Enumeration Date | 03/07/2019 |
Last Update Date | 03/07/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578021655 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Primary |
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