Provider Demographics
NPI:1669875746
Name:KNIGHT, JANET LEIGH (MA,RMHCI,ICADC,CAP)
Entity type:Individual
Prefix:MS
First Name:JANET
Middle Name:LEIGH
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:MA,RMHCI,ICADC,CAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8308 PADDOCK AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-2827
Mailing Address - Country:US
Mailing Address - Phone:813-781-7485
Mailing Address - Fax:813-935-9562
Practice Address - Street 1:14495 UNIVERSITY COVE PLACE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33613
Practice Address - Country:US
Practice Address - Phone:813-979-1780
Practice Address - Fax:813-977-7074
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-02
Last Update Date:2014-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL125956101YA0400X
FL6127568101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health