Active NPI
Myrna I. Valle, LMHC PA
- Mental Health Counselor
- Tamps, FL
National Provider Identifier
1083980361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH3852
- Legal business name
- MYRNA I. VALLE, LMHC PA
- Practice address
- 14505 Bruce B. Downs Blvd.
Tamps, FL 33613-2789 - Phone
- (813) 786-3100
- Fax
- (813) 910-7828
- NPI assigned
- Mar 30, 2012
- Last updated
- Mar 30, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Myrna I. Valle
- Title
- President
- Phone
- (813) 786-3100
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH3852 | FL | Primary |
Addresses
Primary practice location
14505 Bruce B. Downs Blvd.
Tamps, FL 33613-2789
Mailing address
14505 Bruce B. Downs Blvd.
Tamps, FL 33613-2789
Phone (813) 786-3100
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Tampa, FL
- NPI 1730109034
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333065600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1333065600000",
"number": "1083980361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14505 BRUCE B. DOWNS BLVD.",
"city": "TAMPS",
"state": "FL",
"postal_code": "336132789",
"telephone_number": "813-786-3100",
"fax_number": "813-910-7828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14505 BRUCE B. DOWNS BLVD.",
"city": "TAMPS",
"state": "FL",
"postal_code": "336132789",
"telephone_number": "813-786-3100",
"fax_number": "813-910-7828"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MYRNA I. VALLE, LMHC PA",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-30",
"last_updated": "2012-03-30",
"status": "A",
"authorized_official_last_name": "VALLE",
"authorized_official_first_name": "MYRNA",
"authorized_official_middle_name": "I.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "813-786-3100",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH3852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.