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Lourdes Mercedes Ortiz Bautista
Mental Health Counselor in Tampa, Florida
NPI 1184488090

Lourdes Mercedes Ortiz Bautista is a Mental Health Counselor based in Temple Terrace, FL and is specialized in Mental Health. Lourdes Mercedes Ortiz Bautista practices in Tampa, FL. The NPI Number for Lourdes Mercedes Ortiz Bautista is 1184488090 and holds a License No. MH23277 (Florida).

The current practice location address for Lourdes Mercedes Ortiz Bautista is 4422 E Columbus Dr, Tampa, FL and can be reached out via phone at 813-384-4000.

Location: 4422 E Columbus Dr, Tampa, FL, 33617-4122
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184488090
Provider Name
Lourdes Mercedes Ortiz Bautista
Credential
Provider Entity Type
Individual
Gender
Female
Address
4422 E Columbus Dr, Tampa, FL, 33617-4122
Phone Number
813-384-4000
Fax Number
Provider Enumeration Date
02/12/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
4422 E Columbus Dr
City
Tampa
State
Florida
Zip
33605-3233
Phone Number
813-384-4000
Fax Number
person
Provider Business Mailing Address Details
Address
4422 E Columbus Dr
City
Tampa
State
Florida
Zip
33605-3233
Phone Number
813-384-4000
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
MH23277 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MA99029 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MH23277 (Florida)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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