Jessica D Lopez is a Mental Health in Tampa, Florida. Jessica D Lopez practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Jessica D Lopez is 1629245626. The last update date is 2023-07-26.
Jessica D Lopez's current location address is 4107 W Spruce St Ste 100, Tampa, Florida. You can contact this provider via phone number 8136368811 and fax number 8136368855. The mailing address for Jessica D Lopez is 4107 W Spruce St Ste 100, Tampa, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica D Lopez |
|---|---|
| Address | 4107 W Spruce St Ste 100, Tampa, Florida |
| Phone Number | 8136368811 |
| Fax Number | 8136368855 |
| Sole Proprietor | Y |
| Credentials | LMHC |
NPI Number Detail
| NPI Number | 1629245626 |
|---|---|
| Provider Enumeration Date | 2008-05-09 |
| Last Updated Date | 2023-07-26 |
Provider Mailing Address Detail
| Address | 4107 W Spruce St Ste 100 |
|---|---|
| City | Tampa |
| State | Florida (FL) |
| Post Code | 336072346 |
| Phone Number | 8136368811 |
| Fax Number | 8136368855 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | MH13095 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 15592400 | FL | -- |
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What is the unique 10-digit identification code assigned to Jessica D Lopez by the Centers for Medicare & Medicaid Services?
The Jessica D Lopez has been issued the NPI (National Provider Identifier) 1629245626, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jessica D Lopez is located?
The Jessica D Lopez is situated at the following address: 4107 W Spruce St Ste 100, Tampa, FL, 336072346.
What is the Jessica D Lopez's area of specialization and corresponding taxonomy classification?
The Jessica D Lopez's specialty field is Mental Health, and it falls under the taxonomy code 101Ym0800X, which categorizes healthcare providers based on their specialties.
When did the Jessica D Lopez receive its 1629245626?
The Jessica D Lopez was issued its 1629245626 on 2008-05-09, which is the date when the organization was assigned this unique identifier.
As of what date were the Jessica D Lopez's details last updated?
The information pertaining to the Jessica D Lopez, including its address, specialty, and other details, was most recently updated on 2023-07-26.
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