Lillian Ingram
Lillian Ingram is a Mental Health Clinic/Center (Including Community Mental Health Center) in Tampa, Florida. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 4
Practice location Address checks out
1211 Tech Blvd Ste 105Tampa, FL 33619-7846
Phone: (813) 999-1516
Fax: (813) 336-8384
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X |
|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | Taxonomy 261QM0801X |
| Primary Care Clinic/Center | Taxonomy 261QP2300X |
| Family Nurse Practitioner | Taxonomy 363LF0000X |
Record details
| NPI number | 1578146171 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lillian Ingram — Owner/Operator · (608) 217-6108 |
| NPI enumerated | April 30, 2021 |
| Last updated in NPPES | February 16, 2022 |
| Certification date | February 16, 2022 |
| Mailing address | 1211 Tech Blvd Ste 105, Tampa, FL 33619-7846 |
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