IndividualActive
Alice Boullosa, M.S.W., L.M.F.T.
NPI 1285946095 · Marriage & Family Therapist · Tampa, FL
Provider details
- NPI number
- 1285946095
- Entity type
- Individual
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Credential
- M.S.W., L.M.F.T.
- Sex
- Female
- Sole proprietor
- Yes
- License
- MT0001228 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
200 S Hoover Blvd
Bldg 200 Suite 100
Tampa, FL 33609-3540
Phone: (813) 789-6070
Approximate (ZIP-level) locationGet directions
Mailing address
200 S Hoover Blvd
Tampa, FL 33609-3540
Registry dates
- Enumerated
- 2010-07-09
- Last updated
- 2010-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.