Provider Demographics
NPI:1902308117
Name:TOCZEK, BARBARA (RMHCI, EDD, MA,)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:TOCZEK
Suffix:
Gender:F
Credentials:RMHCI, EDD, MA,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:735 ARLINGTON AVE N STE 209
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33701-3653
Mailing Address - Country:US
Mailing Address - Phone:813-816-1604
Mailing Address - Fax:
Practice Address - Street 1:735 ARLINGTON AVE N STE 210
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-3653
Practice Address - Country:US
Practice Address - Phone:813-816-1604
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-03
Last Update Date:2020-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH16475101YM0800X
WA133NN1002X
FL174H00000X
CO225A00000X
246ZE0500X, 261QM0855X, 261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental HealthGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
No174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty
No225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist
No246ZE0500XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherEEG
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health