Provider Demographics
NPI:1104270776
Name:CONSISTENT THERAPY, LLC.
Entity type:Organization
Organization Name:CONSISTENT THERAPY, LLC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:PROF
Authorized Official - First Name:MADELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:CINTRON-HALL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:813-400-3368
Mailing Address - Street 1:17407 BRIDGE HILL CT
Mailing Address - Street 2:SUITE I
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-3522
Mailing Address - Country:US
Mailing Address - Phone:813-400-3368
Mailing Address - Fax:
Practice Address - Street 1:17407 BRIDGE HILL CT
Practice Address - Street 2:SUITE I
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647-3522
Practice Address - Country:US
Practice Address - Phone:813-400-3368
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-19
Last Update Date:2016-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW100021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLHN426AOtherMEDICARE