Female

Madelene Roserie-hargrove LMHC

Mental Health Counselor in Tampa, FL(View on Map)

Full Name

Madelene Roserie-hargrove LMHC

NPI Number

1851741292

NPI Type

Individual Provider

Gender

Female

Enumeration Date

06/16/2016

Specialties

(Taxonomies)

Code

101YM0800X
101Y00000X

Primary Taxonomy

Yes
No

Licenses

State

Florida
Florida

License Number

MH20089
13928

Contact
Information

Purpose

Mailing
Location

Address

1919 W 10TH ST APT 28
4422 E COLUMBUS DR

City

Lakeland
Tampa

State

FL
FL

Postal Code

33805-3388
33605-3233

Country

US
US

Telephone Number

(863) 899-4536
(813) 384-4203

Identifiers

Identifier

060650200

Identifier State

FL

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/09/2024

Provider Address

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