Provider Demographics
NPI:1053619791
Name:SILVER LINING COUNSELING LLC
Entity type:Organization
Organization Name:SILVER LINING COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:DAVIDSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN/LMHC
Authorized Official - Phone:813-679-1091
Mailing Address - Street 1:29749 MORWEN PL
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33543-6738
Mailing Address - Country:US
Mailing Address - Phone:813-679-1091
Mailing Address - Fax:813-929-6636
Practice Address - Street 1:8905 REGENTS PARK DR
Practice Address - Street 2:SUITE 230
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647-3081
Practice Address - Country:US
Practice Address - Phone:813-679-1091
Practice Address - Fax:813-929-6636
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-04
Last Update Date:2011-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH2038101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty