MR. LAVASAOUS ANTONIO CANDIS LMHC
NPI 1508162470
Counselor - Mental Health in Tampa, FL
Active since February 09, 2011
About Mr. Lavasaous Antonio Candis Lmhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. LAVASAOUS ANTONIO CANDIS LMHC (NPI 1508162470) is an individual mental health provider in Tampa, Florida, licensed in Florida (MH11677) and active in the NPI registry since February 2011.
NPPES Registry Identity
NPI1508162470
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. LAVASAOUS ANTONIO CANDISCredential: LMHC
Location Address4422 E COLUMBUS DRTampa, FL 33605-3233
Mailing Address4422 E Columbus DrTampa, FL 33605-3233 · (813) 384-4081
Phone(813) 384-4081
Sole ProprietorNo
Enumeration DateFebruary 9, 2011
Last NPPES UpdateMarch 13, 2013
✔ NPI 1508162470 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 · MH11677
4422 E COLUMBUS DR, Tampa, FL 33605
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Addiction (Substance Use Disorder))
4422 E COLUMBUS DR
TAMPA, FL 33605
TAMPA, FL 33605
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508162470, enumerated as an "individual" on February 09, 2011.
The provider is located at 4422 E COLUMBUS DR TAMPA, FL 33605 and the phone number is (813) 384-4081.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
