Provider Demographics
NPI:1427502657
Name:TRESH, JAMES (LMHC)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:
Last Name:TRESH
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 1:2185 BOW LN
Mailing Address - Street 2:
Mailing Address - City:SAFETY HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34695-2235
Mailing Address - Country:US
Mailing Address - Phone:727-637-2821
Mailing Address - Fax:
Practice Address - Street 1:655 5TH AVE N
Practice Address - Street 2:
Practice Address - City:SAFETY HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34695-3014
Practice Address - Country:US
Practice Address - Phone:727-637-2821
Practice Address - Fax:727-266-4753
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-04
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL6512310400000X
FLMH 1787101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility