Provider Demographics
NPI:1619127768
Name:SPOTO, ANGELO (MA, LMHC)
Entity Type:Individual
Prefix:MR
First Name:ANGELO
Middle Name:
Last Name:SPOTO
Suffix:
Gender:M
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4615 RIVER HILLS DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33617-6921
Mailing Address - Country:US
Mailing Address - Phone:813-988-3184
Mailing Address - Fax:
Practice Address - Street 1:4615 RIVER HILLS DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33617-6921
Practice Address - Country:US
Practice Address - Phone:813-988-3184
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-25
Last Update Date:2008-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 2787101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health