Provider Demographics
NPI:1326535592
Name:EMPATH COUNSELING AND COACHING, PLCC
Entity Type:Organization
Organization Name:EMPATH COUNSELING AND COACHING, PLCC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:GEMMA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:CUOMO KAY
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:813-436-3400
Mailing Address - Street 1:18865 STATE ROAD 54
Mailing Address - Street 2:
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33558-8201
Mailing Address - Country:US
Mailing Address - Phone:813-436-3400
Mailing Address - Fax:813-436-3400
Practice Address - Street 1:6936 W LINEBAUGH AVE STE 101
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33625-5829
Practice Address - Country:US
Practice Address - Phone:813-830-6900
Practice Address - Fax:813-436-3400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-13
Last Update Date:2018-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH5396251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1841378882Medicaid
FL1326535592Medicaid