Provider Demographics
NPI:1528713906
Name:CORRIERE, VYNASKA TANEKA (LMHC)
Entity type:Individual
Prefix:
First Name:VYNASKA
Middle Name:TANEKA
Last Name:CORRIERE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 N ASHLEY DR STE 1900
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33602-4311
Mailing Address - Country:US
Mailing Address - Phone:813-712-8734
Mailing Address - Fax:
Practice Address - Street 1:400 N ASHLEY DR STE 1900
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33602-4311
Practice Address - Country:US
Practice Address - Phone:813-712-8734
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-15
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH19881101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health