SearchFlorida1041C0700X

Andra Blackheart, LCSW

NPI 1043921612 · on the registry since 2022

Practice

Address
5707 N 22nd St
Tampa, FL 33610
Phone
(813) 239-8147
Organisation at this address
Gracepoint Mhc
Ibis Healthcare Inc
Ibis Healthcare Inc
Ibis Healthcare Inc
Ibis Healthcare, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
590

Additional practice sites

  • 12101 N Dale Mabry Hwy Apt 714, Tampa, FL

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-08-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida