Provider Demographics
NPI:1336433523
Name:MICHELE J MESTER, LMHC, PA
Entity Type:Organization
Organization Name:MICHELE J MESTER, LMHC, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:JAN
Authorized Official - Last Name:MESTER
Authorized Official - Suffix:
Authorized Official - Credentials:MED,EDS
Authorized Official - Phone:813-240-0775
Mailing Address - Street 1:333 S PLANT AVE
Mailing Address - Street 2:SUITE 205
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33606-2325
Mailing Address - Country:US
Mailing Address - Phone:813-240-0775
Mailing Address - Fax:813-226-8930
Practice Address - Street 1:333 S PLANT AVE
Practice Address - Street 2:SUITE 205
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33606-2325
Practice Address - Country:US
Practice Address - Phone:813-240-0775
Practice Address - Fax:813-226-8930
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-05
Last Update Date:2011-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH1497101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty