Tallahassee Therapy Associates, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

SW11731 Issued in FL

Legal business name

TALLAHASSEE THERAPY ASSOCIATES, LLC

Practice address

109 W 4TH Ave
Tallahassee, FL 32303-6152

Phone

(850) 241-5707

NPI assigned

Jan 1, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Michelle Bouthillier, LCSW, CGPNPI 1457739567

Title

Owner

Phone

(850) 241-5707

Specialties & licenses 1

Addresses

Practitioners 1

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

• Michelle Bouthillier, LCSW, CGP

  • Clinical Social Worker
  • Tallahassee, FL
  • NPI 1457739567
  NPD (past) Authorized official

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

{
    "created_epoch": "1451606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451606400000",
    "number": "1033575394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10678 LAKE IAMONIA DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323125102",
            "telephone_number": "850-597-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W 4TH AVE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323036152",
            "telephone_number": "850-241-5707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALLAHASSEE THERAPY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-01",
        "last_updated": "2016-01-01",
        "status": "A",
        "authorized_official_last_name": "BOUTHILLIER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-241-5707",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW, CGP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "SW11731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tallahassee Surgical Associates PA
• Tallahassee Therapeutic Healing Center
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• Talle Regen, LLC
• Taryn Nichole Talley, DNP, ARNP, FNP-C
• Tally Dental, PA

• Community/Behavioral Health Agency in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2016; 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.