Organization Active NPI

Grow, Empower, Transform Therapy, LLC

  • Mental Health Counselor
  • Tampa, FL
National Provider Identifier
1013524149
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
GROW, EMPOWER, TRANSFORM THERAPY, LLC
Practice address
2700 N Macdill Ave Ste 116
Tampa, FL 33607-2284
Phone
(813) 563-8227
NPI assigned
Sep 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Denise D Moore, LMHC, QSNPI 1528101821
Title
Owner, Clinical Director
Phone
(813) 563-8227

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2700 N Macdill Ave Ste 116
Tampa, FL 33607-2284

Mailing address

PO Box 10192
Tampa, FL 33679-0192
Phone (813) 563-8227

National Provider Directory

National Provider Directory

Locations

13542 N Florida Ave
Ste 210
Tampa, FL 33613
Phone (813) 390-4340

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1013524149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10192",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336790192",
            "telephone_number": "813-563-8227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 N MACDILL AVE STE 116",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336072284",
            "telephone_number": "813-563-8227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROW, EMPOWER, TRANSFORM THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-23",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER, CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "813-563-8227",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC, QS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.