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Dr. Rene E. Villa, EDD,LMHC
Mental Health Counselor in Tampa, Florida
NPI 1194967596

Rene E. Villa is a Mental Health Counselor based in Tampa, FL and is specialized in Mental Health. Rene E. Villa practices in Tampa, FL and has the professional credentials of EDD,LMHC. The NPI Number for Rene E. Villa is 1194967596 and holds a License No. MH2688 (Florida).

The current practice location address for Rene E. Villa is 4107 W Spruce St Ste 100, Tampa, FL and can be reached out via phone at 813-636-8811 and via fax at 813-636-8855.

Location: 4107 W Spruce St Ste 100, Tampa, FL, 33607-2346
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194967596
Provider Name
Rene E. Villa
Credential
EDD,LMHC
Provider Entity Type
Individual
Gender
Male
Address
4107 W Spruce St Ste 100, Tampa, FL, 33607-2346
Phone Number
813-636-8811
Fax Number
813-636-8855
Provider Enumeration Date
03/31/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
007374700 05 FL
institution
Provider Business Practice Location Address Details
Address
4107 W Spruce St Ste 100
City
Tampa
State
Florida
Zip
33607-2346
Phone Number
813-636-8811
Fax Number
813-636-8855
person
Provider Business Mailing Address Details
Address
4107 W Spruce St Ste 100
City
Tampa
State
Florida
Zip
33607-2346
Phone Number
813-636-8811
Fax Number
813-636-8855
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MH2688 (Florida)
Definition
Definition to come...
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