EILEEN GUSTAFSON LCSW PA (NPI# 1396933446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396933446 |
| Entity Type | Organization |
| Organization Name | EILEEN GUSTAFSON LCSW PA |
| Practice Address |
10335 Cross Creek Blvd Suite 23 Tampa FL 33647-2795 |
| Mailing Address |
Po Box 5797 Spring Hill FL 34611-5797 |
| Practice Telephone | 3524288463 |
| Practice Fax Number | 3525972074 |
| Mailing Telephone | 3524288463 |
| Mailing Fax Number | 3525972074 |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2008-08-12 |
| Authorized Official Name | MS. EILEEN GUSTAFSON (OWNER/THERAPIST) |
| Authorized Official Telephone | 3524288463 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | LCSW 6283 | FL | Agencies |
| Street Address |
10335 CROSS CREEK BLVD SUITE 23 |
| City | TAMPA |
| State | FL |
| Zip Code | 33647-2795 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477545846 | Eileen Gustafson | Social Worker | 10335 Cross Creek Blvd, Suite 23, Tampa, FL 33647-2795 | 2005-08-22 |
| 1306377551 | Exploration Counseling: Therapy & Behavior Modification Services | Counselor | 10335 Cross Creek Blvd, Tampa, FL 33647-2795 | 2017-03-21 |
| 1619325289 | Spot On Massage LLC | Health Maintenance Organization | 10335 Cross Creek Blvd, Suite 10, Tampa, FL 33647-2795 | 2016-05-24 |
| 1437510344 | Joyful Family Therapy, LLC | Social Worker | 10335 Cross Creek Blvd, Tampa, FL 33647-2795 | 2016-03-19 |
| 1194066837 | Jason Carl Gause | Pharmacist | 10335 Cross Creek Blvd, Suite E, Tampa, FL 33647-2795 | 2013-03-05 |
| 1104160241 | Mark Louis Ruffalo Jr. | Social Worker | 10335 Cross Creek Blvd, Suite 15, Tampa, FL 33647-2795 | 2012-11-15 |
| 1073760344 | Swiss Spirit Massage | Massage Therapist | 10335 Cross Creek Blvd, Suite 27, Tampa, FL 33647-2795 | 2008-08-19 |
| 1851561369 | Marlen Caduff-manetsch | Massage Therapist | 10335 Cross Creek Blvd, Suite 27, Tampa, FL 33647-2795 | 2008-03-11 |
| 1821118225 | Patricia Ann Davidson | Counselor | 10335 Cross Creek Blvd, Suite 24, Tampa, FL 33647 | 2007-03-30 |
| 1528049756 | Valerie A Macleod | Marriage & Family Therapist | 10335 Cross Creek Blvd, #1, Tampa, FL 33647-2765 | 2005-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558972935 | Innovative Healthcare of Florida, Inc. | Home Health | 8903 Bruce B Downs Blvd, Tampa, FL 33647 | 2020-08-11 |
| 1093331498 | Envision In-home Companion Svcs | Home Health | 8903 Bruce B. Downs Blvd, Suite #140, Tampa, FL 33647 | 2020-06-22 |
| 1538788344 | Deanna Rene Shelpman | Massage Therapist | 15443 Plantation Oaks Dr, Apt 13, Tampa, FL 33647 | 2020-04-11 |
| 1316598998 | Paramount Health Group LLC | In Home Supportive Care | 17425 Bridge Hill Crt. Unit 200b, Tampa, FL 33647 | 2019-09-24 |
| 1174185656 | S&k Management Services | Clinical Nurse Specialist | 19046 Bruce B. Downs Blvd, Ste 177, Tampa, FL 33647 | 2019-07-03 |
| 1760040133 | Calisia Sapp | Clinic/Center | 19046 Bruce B Downs Blvd Ste B6-703, Tampa, FL 33647 | 2019-05-31 |
| 1306400106 | B2b Apps Solutions, LLC | Durable Medical Equipment & Medical Supplies | 17931 Cachet Isle Drive, Tampa, FL 33647 | 2019-04-26 |
| 1376000919 | Florida Homecare Specialists Minority Corp | Home Health | 5331 Primrose Lake Circle Unit 116, Tampa, FL 33647 | 2019-03-01 |
| 1982188157 | Dynamic Support Solutions, LLC | Home Health | 8606 Baneberry Ct, Tampa, FL 33647 | 2018-09-24 |
| 1982197430 | Erika Mendoza-hutto | Nurse Practitioner | 20713 Center Oak Dr, Tampa, FL 33647 | 2018-06-10 |
| Find all providers in zip 33647 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| 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] |
| 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 |
| Find all providers in TAMPA | ||||
Please comment or provide details below to improve the information on EILEEN GUSTAFSON LCSW PA.
| 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.