Provider Demographics
NPI:1790914083
Name:VALLE, FRANKIE ESTEBAN (LMHC, NCC, CAP, NCGC)
Entity Type:Individual
Prefix:MR
First Name:FRANKIE
Middle Name:ESTEBAN
Last Name:VALLE
Suffix:
Gender:M
Credentials:LMHC, NCC, CAP, NCGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9225 BAY PLAZA BLVD
Mailing Address - Street 2:SUITE 418
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33619-4466
Mailing Address - Country:US
Mailing Address - Phone:813-781-7475
Mailing Address - Fax:813-630-4670
Practice Address - Street 1:9225 BAY PLAZA BLVD
Practice Address - Street 2:SUITE 418
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33619-4466
Practice Address - Country:US
Practice Address - Phone:813-701-1234
Practice Address - Fax:813-630-4670
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-08
Last Update Date:2014-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL4598101YA0400X
FLMH10808101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)