Provider Demographics
NPI:1043968217
Name:RINALDI, DANIEL (RMHCI)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:RINALDI
Suffix:
Gender:M
Credentials:RMHCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6421 N. FLORIDA AVE
Mailing Address - Street 2:STE D PMB 1482
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33604
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:115R S MAIN ST
Practice Address - Street 2:
Practice Address - City:BURKLEY
Practice Address - State:MA
Practice Address - Zip Code:02779
Practice Address - Country:US
Practice Address - Phone:774-231-8008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-16
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH22297101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health