IREBOOT, LLC (NPI# 1518311398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518311398 |
| Entity Type | Organization |
| Organization Name | IREBOOT, LLC |
| Practice Address |
4511 N Himes Ave Ste 200 Tampa FL 33614-7085 |
| Mailing Address |
1506 W Lemon St Tampa FL 33606-1002 |
| Practice Telephone | 8134227609 |
| Mailing Telephone | 8134227609 |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2016-04-19 |
| Authorized Official Name | CYNTHIA CITRON (OWNER) |
| Authorized Official Telephone | 8134227609 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | MH12380 | FL | Behavioral Health & Social Service Providers |
| Street Address |
4511 N HIMES AVE STE 200 |
| City | TAMPA |
| State | FL |
| Zip Code | 33614-7085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134733082 | Robin Rollena Stewart | Home Health | 9537 Lazy Lane, Apt 302, Tampa, FL 33614 | 2020-09-08 |
| 1346885761 | David Joseph Page | Nurse Practitioner | St. Joseph's Behavioral Health Center, 4918 N. Habana Ave, Tampa, FL 33614 | 2019-11-08 |
| 1134687411 | Ramon Chang Adult Family Care Home LLC | Custodial Care Facility | 2607 W Humphrey St, Tampa, FL 33614 | 2019-03-06 |
| 1134600612 | Senior Point Assisted Living Facility, LLC | Assisted Living Facility | 2940 W Hillsborough Ave, Tampa, FL 33614 | 2018-08-23 |
| 1306361266 | Larry Valdes | Assisted Living Facility | 4402 W Minnehaha St, Tampa, FL 33614 | 2017-08-11 |
| 1982128062 | Jaime F Casellas Md Corp | Internal Medicine | 4600 N Habana Ave Suit #13, Tampa, FL 33614 | 2017-07-31 |
| 1891219119 | Waveney Gittens-williams | Alzheimer Center (Dementia Center) | 3706 W. Idle Wild Cir #203, Tampa, FL 33614 | 2017-07-28 |
| 1750811857 | Syerita Nicole Morris | Counselor | 6800 N Dale Marby Hwy, Ste 164, Tampa, FL 33614 | 2017-06-13 |
| 1447786124 | Lisa Moy | Case Manager/Care Coordinator | 4001 W. Dr. Martin Luther King Jr. Blvd., Tampa, FL 33614 | 2017-05-02 |
| 1750813804 | Joshua Martin Good | Physical Therapy Assistant | 3363 W. Waters Avenue, Suite 700, Tampa, FL 33614 | 2017-03-29 |
| Find all providers in zip 33614 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417514720 | Four Winds Counseling LLC | Counselor | 611 West Bay Street, Tampa, FL 33606 | 2019-05-22 |
| 1760943971 | Mario K Lovett Sr. | Counselor | 5135 W Cypress St Ste 103, Tampa, FL 33607-1731 | 2019-03-29 |
| 1184183410 | Rachel Hernandez | Counselor | 6535 Spanish Moss Cir, Tampa, FL 33625-6513 | 2019-03-16 |
| 1861970048 | Guided Path Foundation | Counselor | 2801 W Waters Ave Ste C, Tampa, FL 33614-1866 | 2018-07-31 |
| 1629562095 | Kross Industries | Counselor | 6411 Santa Monica Dr, Tampa, FL 33615-3347 | 2018-06-19 |
| 1215486709 | Marlie Gonzalez | Counselor | 6818 Mitchell Cir, Tampa, FL 33634-2938 | 2016-09-26 |
| 1780138933 | Cynthia Smith | Counselor | 13935 River Willow Pl, Tampa, FL 33637-1010 | 2016-08-04 |
| 1922453406 | Christine Gregory Campos | Counselor | 9225 Bay Plaza Blvd Ste 418, Tampa, FL 33619-4412 | 2016-05-03 |
| 1417317686 | Bruno Nze | Counselor | 10354 Carrollwood Ln Apt 197, Tampa, FL 33618-4721 | 2016-03-02 |
| 1114301900 | Latifah Akram | Counselor | 2913 Cedaridge Dr, Tampa, FL 33618-1421 | 2015-07-13 |
| Find all providers in TAMPA | ||||
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| 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.