Provider Demographics
NPI:1730452442
Name:RECIO, RAMON ALBERTO (LMHC)
Entity type:Individual
Prefix:MR
First Name:RAMON
Middle Name:ALBERTO
Last Name:RECIO
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8910 N DALE MABRY HWY STE 12
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-1580
Mailing Address - Country:US
Mailing Address - Phone:813-368-9241
Mailing Address - Fax:
Practice Address - Street 1:8910 N DALE MABRY HWY STE 12
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-1580
Practice Address - Country:US
Practice Address - Phone:813-368-9241
Practice Address - Fax:813-345-3137
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-13
Last Update Date:2014-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH12607101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health