OrganizationTampa Bay Center For Cognitive Behavior Therapy, Inc(<Unavail>)CounselorBehavioral Health & Social Service ProvidersPractice Address509 Wilbur St, Brandon, FL 33511-5323(813) 480-8482PECOS EnrollmentBased on the most recent information from CMS, provider Tampa Bay Center For Cognitive Behavior Therapy, Inc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:06 AM.Profile DetailsProvider ID1659781615Provider TypeOrganizationFull NameTampa Bay Center For Cognitive Behavior Therapy, IncOther Name<Unavail>SubpartNoEnumeration Date4/30/2014Last Updated4/30/2014Contact InformationPractice LocationPractice Address509 Wilbur St, Brandon, FL 33511-5323Phone(813) 480-8482Fax(813) 651-4402Mailing LocationMailing AddressPO Box 14, Brandon, FL 33509-0014Phone(813) 480-8482Fax(813) 651-4402Authorized OfficialNameGordon, Nancy S (President)Phone(813) 480-8482Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerIDZ180VDescriptionOtherIssuerBCBSFlorida