MARY WELSH FOUNDATION, INC.


Address: 400 E Martin Luther King Blvd Ste 107, Tampa, FL 33603-3866
Phone: 8134427505

MARY WELSH FOUNDATION, INC. (NPI# 1376055400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376055400
Entity Type Organization
Organization Name MARY WELSH FOUNDATION, INC.
Practice Address 400 E Martin Luther King Blvd Ste 107
Tampa
FL 33603-3866
Practice Telephone 8134427505
Mailing Telephone 8134427505
Enumeration Date 2017-10-30
Last Update Date 2018-01-09
Authorized Official Name MS. ROBIN FOSTER (CHAIRMAN OF THE BOARD)
Authorized Official Telephone 8134427505
Authorized Official Credential LMHC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251B00000X Case Management Agencies
Y 251S00000X Community/Behavioral Health 012188500 FL Agencies

Other Provider Identifier

State Issuer Identifier Type Code
FL 012188500 05

Office Location

Street Address 400 E MARTIN LUTHER KING BLVD STE 107
City TAMPA
State FL
Zip Code 33603-3866

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NPI Name Taxonomy Address Enumeration
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1700366010 Marie A Brister Md LLC Family Medicine 508 W Dr Martin Luther King Jr Blvd Ste A, Tampa, FL 33603 2018-08-16
1619415197 Riverside Recovery of Tampa, LLC Substance Abuse Rehabilitation Facility 4004 N. Riverside Dr., Tampa, FL 33603 2017-02-06
1306213194 Jacqueline Dowgiallo Case Manager/Care Coordinator 4004 N Riverside Dr, Tampa, FL 33603 2015-08-27
1629487061 Robin Ann Waters Social Worker 1016 W Hillsborough Ave, Tampa, FL 33603 2014-08-11
1831430453 Cassandra Gonzalez Social Worker 1726 W Rio Vista Ave, Tampa, FL 33603 2013-03-06
1487908893 Spine Injury Physicians LLC Neurological Surgery 607 W Martin Luther King Blvd, Suite 1, Tampa, FL 33603 2012-11-07
1861742124 Joseph Timothy Candelore Jr. Internal Medicine 2333 W Hillsborough Ave Ste 160, Tampa, FL 33603 2012-09-14
1679835599 Odessa Biandudi Dentist 825 West Martin Luther King Boulevard, Tampa, FL 33603 2012-06-15
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427661446 Trinity Mental Health Inc Community/Behavioral Health 4236 W Linebaugh Ave, Tampa, FL 33624-5241 2020-08-28
1932718467 Diane G .hill, Phd Community/Behavioral Health 1205 N Franklin St Ste 328, Tampa, FL 33602-3313 2020-07-30
1285258293 Essential Mental Health Inc Community/Behavioral Health 4311 W Waters Ave Ste 304, Tampa, FL 33614-2194 2020-06-05
1871114801 Resurgence Tampa Bay LLC Community/Behavioral Health 3808 Gunn Hwy, Tampa, FL 33618-8757 2020-04-30
1841819489 Tri-lyfe Support Services Inc Community/Behavioral Health 3919 E Fern St Apt 4, Tampa, FL 33610-1609 2020-04-14
1508497694 Lotus Community Corp Community/Behavioral Health 5927 Webb Rd, Tampa, FL 33615-3219 2020-01-28
1457992463 Elevate To Achieve LLC Community/Behavioral Health 1208 E Kennedy Blvd Unit 912, Tampa, FL 33602-3537 2019-10-01
1285281899 Bridges Behavioral Wellness LLC Community/Behavioral Health 2746 N Florida Ave, Tampa, FL 33602-1522 2019-08-20
1487218426 Alintana LLC Community/Behavioral Health 4410 Melton Ave, Tampa, FL 33614-7218 2019-04-25
1679032379 5 Star Cares, Inc Community/Behavioral Health 1101 Ray Charles Blvd Unit 1505, Tampa, FL 33602-3019 2019-03-13
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Competitor

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City TAMPA
Zip Code 33603

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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