TRI-COUNTY LIFE SKILLS CENTERS LLC (NPI# 1821432279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821432279 |
| Entity Type | Organization |
| Organization Name | TRI-COUNTY LIFE SKILLS CENTERS LLC |
| Practice Address |
12543 Tamiami Trl S North Port FL 34287-1446 |
| Practice Telephone | 9412680020 |
| Practice Fax Number | 9414293778 |
| Mailing Telephone | 9412680020 |
| Mailing Fax Number | 9414293778 |
| Enumeration Date | 2013-04-28 |
| Last Update Date | 2013-04-28 |
| Authorized Official Name | THOMAS G GLAZA (OWNER) |
| Authorized Official Telephone | 9412680020 |
| Authorized Official Credential | LMHC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | MH 5146 | FL | Agencies |
| Street Address |
12543 TAMIAMI TRL S |
| City | NORTH PORT |
| State | FL |
| Zip Code | 34287-1446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972647899 | Tri-county Counseling & Life Skills Center | Counselor | 12543 Tamiami Trl S, North Port, FL 34287-1446 | 2007-02-16 |
| 1346866035 | Lee Erik Schlanger | Counselor | 12543 Tamiami Trl S, North Port, FL 34287-1446 | 2020-06-18 |
| 1902201858 | Charlton Cerbone | Counselor | 12543 Tamiami Trl S, North Port, FL 34287-1446 | 2014-11-04 |
| 1114277266 | Pieces of A Dream Counseling Center | Counselor | 12543 Tamiami Trl S, North Port, FL 34287-1446 | 2012-09-17 |
| 1144570250 | Calvin Collins | Counselor | 12543 Tamiami Trl S, North Port, FL 34287-1446 | 2012-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134619323 | Fresenius Medical Care North Port, LLC | Clinic/Center | 12480 Tamiami Trl S, North Port, FL 34287 | 2018-05-14 |
| 1982106464 | Sweetwater Oaks Assisted Living | Assisted Living Facility | 2820 Pan American Blvd, North Port, FL 34287 | 2018-03-01 |
| 1114446218 | Shore Dental, LLC | Dentist | 4901 White Ibis Drive, North Port, FL 34287 | 2017-09-11 |
| 1245645191 | Timmy Truong | Podiatrist | 12757 S. Tamiami Trail, North Port, FL 34287 | 2014-06-29 |
| 1063833671 | Vitaly Rehab Incorporated | Clinic/Center | 12450 Timiami Trail, Suite-e, North Port, FL 34287 | 2013-12-27 |
| 1053744557 | Tiesha Quality Care, LLC. | In Home Supportive Care | 8767 Culebra Ave, North Port, FL 34287 | 2013-08-20 |
| 1811235427 | America's Best Contacts & Eyeglasses | Technician/Technologist | 18467 South Tamiami Trail, North Port, FL 34287 | 2013-01-17 |
| 1043557929 | Joseph E Lacombe | Pharmacist | 1291 S. Sumter Blvd, North Port, FL 34287 | 2013-01-11 |
| 1568621837 | Daniel M Barr Dc | Chiropractor | 4361 Aidan Ln, North Port, FL 34287 | 2008-06-03 |
| 1174712541 | Michael Dwayne Hibbs | Nurse Practitioner | 18659 Tamiami Trail, Suite A, North Port, FL 34287 | 2007-10-22 |
| Find all providers in zip 34287 | ||||
| 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 |
|---|---|---|---|---|
| 1427458090 | The Florida Center for Early Childhood | Community/Behavioral Health | 6929 Outreach Way, North Port, FL 34287-3493 | 2014-09-02 |
| 1023317138 | Estar Counseling Services, Inc. | Community/Behavioral Health | 2500 Bobcat Village Center Rd Unit F, North Port, FL 34288-8476 | 2011-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932992 | Dfd Therapy Services LLC | Community/Behavioral Health | 2742 Sw 8th St Ste 8, Miami, FL 33135-4636 | 2020-11-07 |
| 1952902611 | Tallon Medical Center Inc | Community/Behavioral Health | 5600 Sw 135th Ave Ste 110, Miami, FL 33183-5125 | 2020-11-07 |
| 1356942288 | Sol Community Center, Corp | Community/Behavioral Health | 8550 W Flagler St Ste 118, Miami, FL 33144-2037 | 2020-11-06 |
| 1104427632 | Sunzup Counseling and Wellness | Community/Behavioral Health | 3355 Claire Ln Apt 1116, Jacksonville, FL 32223-6662 | 2020-11-02 |
| 1235739806 | Twins Medical Services Corp | Community/Behavioral Health | 4051 E 8th Ave Ste 5, Hialeah, FL 33013-2800 | 2020-10-31 |
| 1558961110 | Family Evolution Mental Health Care Inc | Community/Behavioral Health | 2500 Nw 79th Ave Ste 255, Doral, FL 33122-1087 | 2020-10-31 |
| 1538769534 | Psycare LLC | Community/Behavioral Health | 10740 W Flagler St Ste 112, Miami, FL 33174-4405 | 2020-10-28 |
| 1508466533 | Exceptional Healthcare Services Corp | Community/Behavioral Health | 13240 N Cleveland Ave Ste 1, North Fort Myers, FL 33903-4855 | 2020-10-28 |
| 1417556903 | Genesis Community Mental Health LLC | Community/Behavioral Health | 6043 Nw 167th St Ste A10, Hialeah, FL 33015-4322 | 2020-10-26 |
| 1871192328 | Wellness Community & Medical Center Inc | Community/Behavioral Health | 946 E 25th St, Hialeah, FL 33013-3404 | 2020-10-25 |
| Find all providers with the same taxonomy | ||||
| City | NORTH PORT |
| Zip Code | 34287 |
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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.