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Provider Information for 1871661975


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Ms. NATALIE REID GOMEZ LMHC


Sex: Female

NPI: 1871661975
Last Updated: 2007-07-08
Certification Date:

Details

NameValue
NPI1871661975
Enumeration Date2006-11-30
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 5701 N FLORIDA AVE
TAMPA, FL 33604-6913
United States

Phone: 813-231-2311 | Fax:813-223-5249
 
Primary Practice Address 5701 N FLORIDA AVE
TAMPA, FL 33604-6913
United States

Phone: 813-231-2311 | Fax:813-223-5249
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YM0800X - Counselor - Mental HealthFL7128