Provider Demographics
NPI:1386121887
Name:CODLING, TAMEKA LASHUNDA
Entity type:Individual
Prefix:MRS
First Name:TAMEKA
Middle Name:LASHUNDA
Last Name:CODLING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:TAMEKA
Other - Middle Name:LASHUNDA
Other - Last Name:RUSS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMHC
Mailing Address - Street 1:5905 US HIGHWAY 301 S
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33578-3800
Mailing Address - Country:US
Mailing Address - Phone:727-822-7115
Mailing Address - Fax:
Practice Address - Street 1:5905 US HIGHWAY 301 S
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33578-3800
Practice Address - Country:US
Practice Address - Phone:727-822-7115
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-26
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH15899101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional