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

Matthew Bruce Whitehead

Individual provider Mental Health Counselor · NPI 1205656964

Matthew Bruce Whitehead is a Mental Health Counselor in Tampa, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2024

Practice location Address checks out

1111 N West Shore Blvd Ste 213
Tampa, FL 33607-4711
Phone: (850) 257-3122
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence IMH26461 (FL)

Record details

NPI number1205656964
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 16, 2024
Last updated in NPPESOctober 16, 2024
Certification dateOctober 16, 2024

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