| Myrna I. Valle, Lmhc Pa | |
|
14505 Bruce B. Downs Blvd. Tamps FL 33613-2789 | |
| (813) 786-3100 | |
| (813) 910-7828 |
| Full Name | Myrna I. Valle, Lmhc Pa |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 14505 Bruce B. Downs Blvd., Tamps, Florida |
| Authorized Official Name and Position | Myrna I. Valle (PRESIDENT) |
| Authorized Official Contact | 8137863100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Myrna I. Valle, Lmhc Pa 14505 Bruce B. Downs Blvd. Tamps FL 33613-2789 Ph: (813) 786-3100 | Myrna I. Valle, Lmhc Pa 14505 Bruce B. Downs Blvd. Tamps FL 33613-2789 Ph: (813) 786-3100 |
| NPI Number | 1083980361 |
|---|---|
| Provider Enumeration Date | 03/30/2012 |
| Last Update Date | 03/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083980361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH3852 (Florida) | Primary |
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