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

Marisa Mango

Individual provider Counseling Psychologist · NPI 1104538578

Marisa Mango is a Counseling Psychologist in Tampa, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2022

Practice location Address checks out

13000 Bruce B Downs Blvd
Tampa, FL 33612-4745
Phone: (813) 972-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counseling Psychologist (primary) Taxonomy 103TC1900X · Licence PY11724 (FL)

Record details

NPI number1104538578
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 19, 2022
Last updated in NPPESDecember 19, 2022
Certification dateDecember 16, 2022
Mailing address9717 Lake Jasmine Dr Apt 9717, Tampa, FL 33626-1873

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