Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Back Nine Ventures Corp

Organization Mental Health Counselor · NPI 1386482149

Back Nine Ventures Corp is a Mental Health Counselor in Tampa, Florida. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6236 Scarlet Darter Way
Tampa, FL 33625-3209
Phone: (813) 261-3171
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1386482149
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chad Hardwick — Authorized Official · (813) 261-3171
NPI enumeratedJuly 17, 2024
Last updated in NPPESJuly 17, 2024
Certification dateJuly 16, 2024
Mailing address6236 Scarlet Darter Way, Tampa, FL 33625-3209

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