Provider Demographics
NPI:1528348307
Name:CONCEPCION-CIPRIANO AND ASSOCIATES, P.A.
Entity type:Organization
Organization Name:CONCEPCION-CIPRIANO AND ASSOCIATES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:CONCEPCION-CIPRIANO
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:813-728-0016
Mailing Address - Street 1:PO BOX 46876
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33646-0108
Mailing Address - Country:US
Mailing Address - Phone:813-728-0016
Mailing Address - Fax:
Practice Address - Street 1:17407 BRIDGE HILL CT
Practice Address - Street 2:SUITE C
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647-3522
Practice Address - Country:US
Practice Address - Phone:813-728-0016
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-24
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH10358101YM0800X
FLPY7798103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty