person
Eileen D Bonilla, LMHC
Mental Health Counselor in St Petersburg, Florida
NPI 1740431857

Eileen D Bonilla is a Mental Health Counselor based in St Petersburg, FL and is specialized in Mental Health. Eileen D Bonilla practices in St Petersburg, FL and has the professional credentials of LMHC. The NPI Number for Eileen D Bonilla is 1740431857 and holds a License No. LGP2925 (Florida).

The current practice location address for Eileen D Bonilla is 3840 5Th Ave N, St Petersburg, FL and can be reached out via phone at 727-367-2273.

Location: 3840 5Th Ave N, St Petersburg, FL, 33713-7521
person
Provider Profile Details
NPI Number
1740431857
Provider Name
Eileen D Bonilla
Credential
LMHC
Provider Entity Type
Individual
Gender
Female
Address
3840 5Th Ave N, St Petersburg, FL, 33713-7521
Phone Number
727-367-2273
Fax Number
Provider Enumeration Date
10/07/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
816700100 05 MD
institution
Provider Business Practice Location Address Details
Address
3840 5Th Ave N
City
State
Zip
33713-7521
Phone Number
727-367-2273
Fax Number
person
Provider Business Mailing Address Details
Address
3840 5Th Ave N
City
State
Zip
33713-7521
Phone Number
727-367-2273
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
PMH1313 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LGP2925 (Maryland)
Definition
Definition to come...
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