Provider Demographics
NPI:1205676483
Name:DENBO, WENDY MAXINE (LMHC)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:MAXINE
Last Name:DENBO
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14553 MIRABELLE VISTA CIR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33626-3346
Mailing Address - Country:US
Mailing Address - Phone:813-471-8290
Mailing Address - Fax:
Practice Address - Street 1:14553 MIRABELLE VISTA CIR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33626-3346
Practice Address - Country:US
Practice Address - Phone:813-471-8290
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-28
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH11882101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health