TEQUILLA SCHANTEL BOBO
NPI 1508162116
Counselor - Mental Health in Tampa, FL

Active since January 28, 2011
4107 W SPRUCE ST, SUITE 100, TAMPA, FL 33607(813) 636-8811(813) 636-8855 Get Directions Write a Review

NPPES record last updated: March 29, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tequilla Schantel Bobo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TEQUILLA SCHANTEL BOBO (NPI 1508162116) is an individual mental health provider in Tampa, Florida, licensed in Florida (IMH9987) and active in the NPI registry since January 2011.

NPPES Registry Identity

NPI1508162116
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTEQUILLA SCHANTEL BOBO
Location Address4107 W SPRUCE ST, SUITE 100Tampa, FL 33607-2327
Mailing Address4107 W Spruce St, Suite 100Tampa, FL 33607-2327 · (813) 636-8811 · Fax (813) 636-8855
Fax(813) 636-8855
Sole ProprietorYes
Enumeration DateJanuary 28, 2011
Last NPPES UpdateMarch 29, 2017
NPI 1508162116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in FL · IMH9987
4107 W SPRUCE ST, Tampa, FL 33607

Other Identifiers 1

MedicaidMCD01967500FL

Accepted Insurance

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
4107 W SPRUCE ST, SUITE 100
TAMPA, FL 33607
Clinic/Center (Radiology, Mobile)
4107 W SPRUCE ST
TAMPA, FL 33607
Counselor (Mental Health)
4107 W SPRUCE ST, SUITE 100
TAMPA, FL 33607
Marriage & Family Therapist
4107 W SPRUCE ST, SUITE 100
TAMPA, FL 33607
Psychologist (Clinical)
4107 W SPRUCE ST, SUITE 100
TAMPA, FL 33607
Counselor (Mental Health)
4107 W SPRUCE ST, SUITE 100
TAMPA, FL 33607
Psychologist (Clinical)
4107 W SPRUCE ST, STE 100
TAMPA, FL 33607

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508162116, enumerated as an "individual" on January 28, 2011.

The provider is located at 4107 W SPRUCE ST SUITE 100 TAMPA, FL 33607 and the phone number is (813) 636-8811.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

The provider might be accepting Accepts: Molina Healthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.