Provider Demographics
NPI:1659617215
Name:THE INSTITUTE FOR FAMILY LEARNING INC.
Entity Type:Organization
Organization Name:THE INSTITUTE FOR FAMILY LEARNING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:DESHON
Authorized Official - Last Name:MASON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, MSM
Authorized Official - Phone:813-223-4260
Mailing Address - Street 1:720 W MLK BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33603-3134
Mailing Address - Country:US
Mailing Address - Phone:813-223-4260
Mailing Address - Fax:888-229-2681
Practice Address - Street 1:720 W MLK BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33603-3134
Practice Address - Country:US
Practice Address - Phone:813-223-4260
Practice Address - Fax:888-229-2681
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-28
Last Update Date:2012-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW-9357251S00000X
FLSW-8894251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health