Provider Demographics
NPI:1073165551
Name:ONEAL, TAMEKA (CBHCMS)
Entity type:Individual
Prefix:
First Name:TAMEKA
Middle Name:
Last Name:ONEAL
Suffix:
Gender:F
Credentials:CBHCMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 W WATERS AVE STE B&C
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33604-2951
Mailing Address - Country:US
Mailing Address - Phone:813-857-5084
Mailing Address - Fax:855-631-0056
Practice Address - Street 1:610 W WATERS AVE STE B&C
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33604-2951
Practice Address - Country:US
Practice Address - Phone:813-857-5084
Practice Address - Fax:855-631-0056
Is Sole Proprietor?:No
Enumeration Date:2019-07-15
Last Update Date:2019-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCBHCM102223104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker