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Ms. Latoy Mack
Mental Health Counselor in St Petersburg, Florida
NPI 1962741140

Latoy Mack is a Mental Health Counselor based in St Petersburg, FL and is specialized in Mental Health. Latoy Mack practices in St Petersburg, FL. The NPI Number for Latoy Mack is 1962741140 and holds a License No. IMH9624 (Florida).

The current practice location address for Latoy Mack is 2510 1St Ave S, St Petersburg, FL and can be reached out via phone at 727-289-1164.

Location: 2510 1St Ave S, St Petersburg, FL, 33712-1106
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962741140
Provider Name
Latoy Mack
Credential
Provider Entity Type
Individual
Gender
Female
Address
2510 1St Ave S, St Petersburg, FL, 33712-1106
Phone Number
727-289-1164
Fax Number
Provider Enumeration Date
02/07/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003243100 05 FL
institution
Provider Business Practice Location Address Details
Address
2510 1St Ave S
City
St Petersburg
State
Florida
Zip
33712-1106
Phone Number
727-289-1164
Fax Number
person
Provider Business Mailing Address Details
Address
2510 1St Ave S
City
St Petersburg
State
Florida
Zip
33712-1106
Phone Number
727-289-1164
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
IMH9624 (Florida)
Definition
Definition to come...
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