Provider Demographics
NPI:1568874097
Name:STAR POINTCOUNSELING CENTER INC.
Entity Type:Organization
Organization Name:STAR POINTCOUNSELING CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CLARISSA
Authorized Official - Middle Name:STAR
Authorized Official - Last Name:CRYSTAL-BELLE
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:813-244-1251
Mailing Address - Street 1:419 W PLATT ST
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33606-2243
Mailing Address - Country:US
Mailing Address - Phone:813-244-1251
Mailing Address - Fax:813-253-3600
Practice Address - Street 1:419 W PLATT ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33606-2243
Practice Address - Country:US
Practice Address - Phone:813-244-1251
Practice Address - Fax:813-253-3600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-02
Last Update Date:2014-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH4423101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1285956532OtherINDIVIDUAL NPI