Provider Demographics
NPI:1891947404
Name:ZIPETO, TANYA BUNCH (LMHC)
Entity Type:Individual
Prefix:
First Name:TANYA
Middle Name:BUNCH
Last Name:ZIPETO
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:TANYA
Other - Middle Name:
Other - Last Name:BUNCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:3228 18TH ST N
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33713
Mailing Address - Country:US
Mailing Address - Phone:727-688-3665
Mailing Address - Fax:727-820-7795
Practice Address - Street 1:1101 BELCHER RD S
Practice Address - Street 2:SUITE J
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33771
Practice Address - Country:US
Practice Address - Phone:727-531-7988
Practice Address - Fax:727-531-0950
Is Sole Proprietor?:No
Enumeration Date:2008-10-14
Last Update Date:2020-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 9530101YM0800X
FL9530101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health