Provider Demographics
NPI:1912460726
Name:JONES-MCCOY, LAURA MICHELLE (RMHCI)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:MICHELLE
Last Name:JONES-MCCOY
Suffix:
Gender:F
Credentials:RMHCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16D 5508 N. 50TH STREET
Mailing Address - Street 2:SUITE 16D
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33610
Mailing Address - Country:US
Mailing Address - Phone:813-900-0256
Mailing Address - Fax:813-925-4360
Practice Address - Street 1:5508 N 50TH ST STE 16D
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33610-4804
Practice Address - Country:US
Practice Address - Phone:813-900-0256
Practice Address - Fax:813-925-4360
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-09
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH17342101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health