Organization Name: | PIPER COUNSELING & PSYCHIATRIC SERVICES |
NPI Number: | 1043654791 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TARA P HRUBY (LICENSED MENTAL HEALTH COUNSELOR) |
Mailing Address: | 1639 Cape Coral Pkwy E Suite 211 Cape Coral |
State: | FL US |
Postal Code: | 339049651 |
Phone Number: | 2396998622 |
Fax Number: | |
NPI Enumeration Date: | 04/24/2013 |
NPI Last Update Date: | 04/24/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MH8266 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |