Provider Demographics
NPI:1235996752
Name:ATTALLA, RANA (LMHC)
Entity Type:Individual
Prefix:
First Name:RANA
Middle Name:
Last Name:ATTALLA
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 1:12109 RUSTIC RIVER WAY
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33635-9536
Mailing Address - Country:US
Mailing Address - Phone:856-434-0836
Mailing Address - Fax:
Practice Address - Street 1:3937 TAMPA RD STE 3
Practice Address - Street 2:
Practice Address - City:OLDSMAR
Practice Address - State:FL
Practice Address - Zip Code:34677-3115
Practice Address - Country:US
Practice Address - Phone:813-906-9139
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-01
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health