REBECCA M SLACK (NPI# 1316546146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316546146 |
| Entity Type | Individual |
| Full Name | REBECCA M SLACK |
| Practice Address |
4422 E Columbus Dr Fl 33605 Tampa FL 33605-3233 |
| Practice Telephone | 8133844000 |
| Mailing Telephone | 8133844000 |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2020-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 2073505092 | 05 |
| Street Address |
4422 E COLUMBUS DR FL 33605 |
| City | TAMPA |
| State | FL |
| Zip Code | 33605-3233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750875399 | Alex Lambert Holdings, Pllc | Chiropractor | 1623 E 4th Ave, Unit 106, Tampa, FL 33605 | 2018-06-18 |
| 1326597949 | Sunstate Nephrology& Hypertension, LLC | Internal Medicine | 1922 E 4th Ave Ste A, Tampa, FL 33605 | 2016-09-23 |
| 1063836781 | Yetey Enterprises Inc | Assisted Living Facility | 3213 E 11th Ave, Tampa, FL 33605 | 2014-02-17 |
| 1275972903 | Tristin Andrew Zorn | Physical Therapy Assistant | 1803 E 3rd Ave, Tampa, FL 33605 | 2013-06-15 |
| 1184069213 | Jarvis A. Hodges | Counselor | 4422 E. Columbus Dr, Tampa, FL 33605 | 2013-05-02 |
| 1104164268 | Diana Marie Smith-scriven | Social Worker | 4422 East Columbus Drive, Tampa, FL 33605 | 2013-01-24 |
| 1699081943 | Gary L Howell | Psychologist | 2109 E Palm Ave Ste 201, Tampa, FL 33605 | 2010-08-25 |
| 1154555431 | Arthritis Pain Solutions LLC | Durable Medical Equipment & Medical Supplies | 1614 E 14th Ave, Tampa, FL 33605 | 2009-05-14 |
| 1891968715 | Deepa Dasani | Counselor | 4422 E. Columbus Drive, Tampa, FL 33605 | 2008-04-11 |
| 1811016058 | Peter A Gorski | Pediatrics | Children's Board of Hillsborough County, 1002 E. Palm Ave, Tampa, FL 33605 | 2007-03-28 |
| Find all providers in zip 33605 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003415852 | Betsy Rose Rodriguez | Counselor | 1101 E Cumberland Ave # 201h-132, Tampa, FL 33602-4231 | 2020-10-22 |
| 1124626155 | Laverne Brown | Counselor | 10964 Brightside Dr, Tampa, FL 33624-7007 | 2020-10-12 |
| 1639786064 | Brittany Richardson Smiley | Counselor | 1610 E Osborne Ave, Tampa, FL 33610-6045 | 2020-09-29 |
| 1356957492 | Latoya K Claxton | Counselor | 17106 Carrington Park Dr Apt 601, Tampa, FL 33647-2627 | 2020-09-22 |
| 1679188718 | Jessica Marie Graham | Counselor | 3038 W Bearss Ave, Tampa, FL 33618-1811 | 2020-09-15 |
| 1952915795 | Kathy Thompson | Counselor | 4115 W Spruce St Ste 205, Tampa, FL 33607-2485 | 2020-08-31 |
| 1467066233 | Samantha Tubbs-crews, Lmhc | Counselor | 1211 N West Shore Blvd Ste 100, Tampa, FL 33607-4601 | 2020-08-31 |
| 1699388744 | R.e.s.e.t. Counseling Services LLC | Counselor | 1806 E Hanna Ave, Tampa, FL 33610-3543 | 2020-08-28 |
| 1700401056 | Jamie Tyus | Counselor | 3825 Henderson Blvd Ste 404, Tampa, FL 33629-5012 | 2020-06-12 |
| 1043834211 | Cherise M. Murphy-mcnear | Counselor | 6601 Memorial Hwy # 228, Tampa, FL 33615-4501 | 2020-06-03 |
| Find all providers in TAMPA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.