HEALTHY LIFESTYLES TAMPA BAY LLC (NPI# 1891203485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891203485 |
| Entity Type | Organization |
| Organization Name | HEALTHY LIFESTYLES TAMPA BAY LLC |
| Practice Address |
8479 Dr Martin Luther King Jr St N St Petersburg FL 33702 |
| Mailing Address |
8479 Dr Martin Luther King Jr St N St Petersburg FL 33702-3503 |
| Practice Telephone | 7279066185 |
| Practice Fax Number | 8663522359 |
| Mailing Telephone | 7279066185 |
| Mailing Fax Number | 8663522359 |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2018-06-26 |
| Authorized Official Name | THOMAS G QUINLAN (OWNER) |
| Authorized Official Telephone | 7279066185 |
| Authorized Official Credential | PSY.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
PY7593 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | LICENSE | PY7593 | 01 |
| FL | PROFESSIONAL LICENSE | PY7593 | 01 |
| Street Address |
8479 DR MARTIN LUTHER KING JR ST N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700419637 | Lea Diana Stemplewski | Occupational Therapist | 8950 Dr. Mlk Jr. St. North, Ste 190, St. Petersburg, FL 33702 | 2020-02-19 |
| 1366919557 | Svetlana Nagle | Nurse Practitioner | 10601 Gandy Blvd. N., 5305, St Petersburg, FL 33702 | 2018-10-25 |
| 1457835613 | Joseph Kirchmer | Physical Therapy Assistant | 7101 9th St N, St Petersburg, FL 33702 | 2018-09-23 |
| 1386135176 | Valencia Gibson | Behavior Technician | 8950 Doctor Martin Luther King Jr Street North, 190, Saint Petersburg, FL 33702 | 2018-05-29 |
| 1740778760 | Nicole S Kapr | Behavior Technician | 8950 Doctor Mlk Street North, 190, St. Petersburg, FL 33702 | 2018-04-25 |
| 1003316050 | Sonya Lesnefsky | Behavior Technician | 8950 Dr Mlk St N #190, Saint Petersburg, FL 33702 | 2018-02-16 |
| 1003315086 | Erin Nicole Rogers | Behavior Technician | 8950 Dr Mlk Jr St N, #190, St Petersburg, FL 33702 | 2018-02-06 |
| 1881192482 | Carrie Langbo | Genetic Counselor, MS | Informeddna, 877 Executive Center Drive W, Suite 206, St. Petersburg, FL 33702 | 2018-01-29 |
| 1649787235 | Gurdeep Singh | Behavior Technician | 8950 Dr Mlk Street N, Suite 190, Saint Petersburg, FL 33702 | 2018-01-04 |
| 1760991335 | Nakaysha Pullen | Behavioral Analyst | 8950 Dr Martin Luther King St N Ste #190, St Petersburg, FL 33702 | 2017-09-26 |
| Find all providers in zip 33702 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316009442 | Jeanetta Mc Tier | Psychologist | 3993 Tyrone Blvd N, St Petersburg, FL 33709-4106 | 2006-12-14 |
| 1679631667 | Deborah Downs Spencer | Psychologist | 425 22nd Ave N, Suite B, St Petersburg, FL 33704-4345 | 2006-12-04 |
| 1245287655 | Lori Lee Bourgard | Psychologist | 320 Colony Point Rd S, St Petersburg, FL 33705-6227 | 2006-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508465279 | Ronald Mark Sherman | Psychologist | 10303 Sunrise Lakes Blvd # 212, Sunrise, FL 33322-5906 | 2020-10-22 |
| 1932708344 | Courtney Anne Bass | Psychologist | 5736 Eggleston Avenue, Orlando, FL 32810 | 2020-10-19 |
| 1992318380 | Dr Tina Goodin Enterprises Inc | Psychologist | Psychology Center of Palm Beach, 249 Royal Palm Way, Palm Beach, FL 33480 | 2020-08-26 |
| 1639781313 | I.s. Keino Miller I | Psychologist | 1704 Beechwood Cir N, Tallahassee, FL 32301-6765 | 2020-08-23 |
| 1699391029 | Claire Gordijn | Psychologist | 3426 Saddle Blvd, Orlando, FL 32826-3118 | 2020-06-22 |
| 1811519804 | Soul Search Studios | Psychologist | 14360 Marrian Ave, Jupiter, FL 33458-6753 | 2020-05-12 |
| 1548894058 | Magali Rodriguez | Psychologist | 191 W Grossenbacher Dr, Apopka, FL 32712-7031 | 2020-02-24 |
| 1497387211 | Nida Aziz | Psychologist | 6885 B-5 Sw 18th St, Boca Raton, FL 33433 | 2020-02-10 |
| 1578194312 | Daniel Luke Fioramonti | Psychologist | 2940 E Park Ave Ste 2c, Tallahassee, FL 32301-3446 | 2020-01-30 |
| 1902445687 | Recovery Bay, LLC | Psychologist | 9721 Thomas Dr, Panama City Beach, FL 32408-3811 | 2019-12-30 |
| Find all providers with the same taxonomy | ||||
| City | ST PETERSBURG |
| Zip Code | 33702 |
Please comment or provide details below to improve the information on HEALTHY LIFESTYLES TAMPA BAY LLC.
| 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.