Provider Demographics
NPI:1457674285
Name:TEEHELP SERVICES
Entity Type:Organization
Organization Name:TEEHELP SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TATESHA
Authorized Official - Middle Name:LAVETTE
Authorized Official - Last Name:MARINO
Authorized Official - Suffix:
Authorized Official - Credentials:02/06/1974
Authorized Official - Phone:813-802-4640
Mailing Address - Street 1:1001 W GRACE ST
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-5616
Mailing Address - Country:US
Mailing Address - Phone:813-254-7271
Mailing Address - Fax:813-254-7271
Practice Address - Street 1:1001 W GRACE ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-5616
Practice Address - Country:US
Practice Address - Phone:813-254-7271
Practice Address - Fax:813-254-7271
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-08
Last Update Date:2011-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLM650812745460172A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172A00000XOther Service ProvidersDriverGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL000170748160OtherTEEHELP SERVICES