Provider Demographics
NPI:1861726390
Name:VANTAGE POINT
Entity type:Organization
Organization Name:VANTAGE POINT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:REGISTERED MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CHERISE
Authorized Official - Middle Name:M
Authorized Official - Last Name:MURPHY MCNEAR
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:813-817-4346
Mailing Address - Street 1:6601 MEMORIAL HWY
Mailing Address - Street 2:SUITE228
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33615-4501
Mailing Address - Country:US
Mailing Address - Phone:813-817-4346
Mailing Address - Fax:
Practice Address - Street 1:6601 MEMORIAL HWY
Practice Address - Street 2:SUITE228
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33615-4501
Practice Address - Country:US
Practice Address - Phone:813-817-4346
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-01
Last Update Date:2009-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPN5177250164W00000X
FLIMH6438101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Multi-Specialty