VICTORIA MARIE POTOCKI


Address: 5121 Ehrlich Rd, Building 101, Suite G, Tampa, FL 33624-2049
Phone: 3525384203

VICTORIA MARIE POTOCKI (NPI# 1831556166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831556166
Entity Type Individual
Full Name VICTORIA MARIE POTOCKI
Credential LMHC
Practice Address 5121 Ehrlich Rd
Building 101, Suite G
Tampa
FL 33624-2049
Mailing Address Po Box 340166
Tampa
FL 33694-0166
Practice Telephone 3525384203
Mailing Telephone 3525384203
Enumeration Date 2016-01-17
Last Update Date 2016-03-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
MH13168 FL Behavioral Health & Social Service Providers

Office Location

Street Address 5121 EHRLICH RD
BUILDING 101, SUITE G
City TAMPA
State FL
Zip Code 33624-2049

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NPI Name Taxonomy Address Enumeration
1063415040 Jacob William Skinner Dentist 5121 Ehrlich Rd, Ste 105, Tampa, FL 33624-2015 2005-05-24
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1447552195 Kelly Elizabeth Turner Social Worker 5121 Ehrlich Rd, Bldg 101 Ste G, Tampa, FL 33624-2049 2010-12-01
1790910792 Colandtal Enterprises, Inc In Home Supportive Care 5121 Ehrlich Rd, Bldg 101, Suite G, Tampa, FL 33624-2015 2009-05-19
1558504498 Kasey Cash Developmental Therapist 5121 Ehrlich Rd, Suite 102a, Tampa, FL 33624-2049 2009-04-08
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City TAMPA
Zip Code 33624

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Dataset Information

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.

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