MICHELLE L PETTY (NPI# 1578812533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578812533 |
| Entity Type | Individual |
| Full Name | MICHELLE L PETTY |
| Credential | M.S., LMHC |
| Practice Address |
1412 Tech Blvd Tampa FL 33619-7865 |
| Practice Telephone | 8136359765 |
| Mailing Telephone | 8136359765 |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2014-06-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH12590 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801302690 | Michelle Suzanne Petty | Licensed Practical Nurse | 95 S Ireland Blvd, Ontario, OH 44906-2220 | 2017-12-16 |
| 1598030801 | Michelle L Petty | Counselor | 11447 2nd St, Roscoe, IL 61073-9522 | 2012-03-20 |
| 1639444169 | Michelle Elizabeth Petty | Adult Companion | 2330 Ne Siskiyou St, Portland, OR 97212-2471 | 2012-03-16 |
| Street Address |
1412 TECH BLVD |
| City | TAMPA |
| State | FL |
| Zip Code | 33619-7865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730374240 | John Francis Alepin | Counselor | 1412 Tech Blvd, Tampa, FL 33619-7865 | 2007-09-07 |
| 1457802621 | Jadell Patricio | Counselor | 1412 Tech Blvd, Tampa, FL 33619-7865 | 2016-10-21 |
| 1154725083 | Samantha Shevitz | Counselor | 1412 Tech Blvd, Tampa, FL 33619-7865 | 2014-10-21 |
| 1346657046 | Shanika White | Counselor | 1412 Tech Blvd, Tampa, FL 33619-7865 | 2014-07-15 |
| 1558784991 | Meagan Carter | Counselor | 1412 Tech Blvd, Tampa, FL 33619-7865 | 2014-01-21 |
| 1053660399 | Kim Anise Jackson-mccalla | Counselor | 1412 Tech Blvd, Tampa, FL 33610 | 2012-08-31 |
| 1619225679 | Camelot Community Care, Inc | Foster Care Agency | 1412 Tech Blvd, Tampa, FL 33619-7865 | 2012-08-23 |
| 1538416094 | Aime Y Wood | Counselor | 1412 Tech Blvd, Tampa, FL 33619-7865 | 2012-08-14 |
| 1851648315 | Trevor John Sisson | Social Worker | 1412 Tech Blvd, Tampa, FL 33619-7865 | 2012-08-14 |
| 1508113481 | Debra Richard | Counselor | 1412 Tech Blvd, Tampa, FL 33619-7865 | 2012-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740706787 | Nuevo Amanecer Tampa, LLC | Assisted Living Facility | 7405 Aripeka Dr, Tampa, FL 33619 | 2017-08-22 |
| 1144742396 | Florida Family Primary Care Centers of Tampa, LLC | Pediatrics | 7444 Palm River Dr, Tampa, FL 33619 | 2017-07-10 |
| 1750817110 | Ajaa Love Care Services | Home Health | 8905 Tidewater Trail, Tampa, FL 33619 | 2017-05-04 |
| 1073064127 | Tampa General Medical Group Inc | Internal Medicine | 10740 Palm River Road, Ste 360, Tampa, FL 33619 | 2016-10-24 |
| 1598116741 | Austin Chase | Chiropractor | 10081 E Adamo Dr, Tampa, FL 33619 | 2016-06-29 |
| 1841667003 | Healthworks Med Group of Florida Pa | General Practice | 9527 Delaney Creek Blvd, Tampa, FL 33619 | 2015-08-24 |
| 1962883371 | A Plus Alliance Home Care Agency, LLC | Home Health | 1503 South Hwy 301 Suite 13, Tampa, FL 33619 | 2015-06-11 |
| 1285026377 | Fatty Ademola Aderoju | Pharmacist | 5701 Hillsborough Ave, Tampa, FL 33619 | 2015-02-26 |
| 1942692504 | Henry Fate Corporation | Home Health | 9325 Bay Plaza Blvd, Suite 205, Tampa, FL 33619 | 2015-02-19 |
| 1598189938 | Willie Ruth Miller | Custodial Care Facility | 4812 S. 86th St, Tampa, FL 33619 | 2014-02-05 |
| Find all providers in zip 33619 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316546146 | Rebecca M Slack | Counselor | 4422 E Columbus Dr Fl 33605, Tampa, FL 33605-3233 | 2020-10-22 |
| 1003415852 | Betsy Rose Rodriguez | Counselor | 1101 E Cumberland Ave # 201h-132, Tampa, FL 33602-4231 | 2020-10-22 |
| 1124626155 | Laverne Brown | Counselor | 10964 Brightside Dr, Tampa, FL 33624-7007 | 2020-10-12 |
| 1639786064 | Brittany Richardson Smiley | Counselor | 1610 E Osborne Ave, Tampa, FL 33610-6045 | 2020-09-29 |
| 1356957492 | Latoya K Claxton | Counselor | 17106 Carrington Park Dr Apt 601, Tampa, FL 33647-2627 | 2020-09-22 |
| 1679188718 | Jessica Marie Graham | Counselor | 3038 W Bearss Ave, Tampa, FL 33618-1811 | 2020-09-15 |
| 1952915795 | Kathy Thompson | Counselor | 4115 W Spruce St Ste 205, Tampa, FL 33607-2485 | 2020-08-31 |
| 1467066233 | Samantha Tubbs-crews, Lmhc | Counselor | 1211 N West Shore Blvd Ste 100, Tampa, FL 33607-4601 | 2020-08-31 |
| 1699388744 | R.e.s.e.t. Counseling Services LLC | Counselor | 1806 E Hanna Ave, Tampa, FL 33610-3543 | 2020-08-28 |
| 1700401056 | Jamie Tyus | Counselor | 3825 Henderson Blvd Ste 404, Tampa, FL 33629-5012 | 2020-06-12 |
| 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.