Organization Active NPI

Girls Empowered Mentally for Success

  • Community/Behavioral Health Agency
  • Tampa, FL
National Provider Identifier
1043792765
Registry record updated Aug 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GIRLS EMPOWERED MENTALLY FOR SUCCESS
Practice address
5001 N Nebraska Ave
Tampa, FL 33603-2304
Phone
(813) 300-2891
NPI assigned
Aug 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2018

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

Authorized official

Name
Ms. Crystal Bailes, MA
Title
Ceo
Phone
(813) 495-5730

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X FL Primary

Addresses

Primary practice location

5001 N Nebraska Ave
Tampa, FL 33603-2304

Mailing address

PO Box 292814
Tampa, FL 33687-2814
Phone (813) 300-2891

Other names 1

  • Girls Empowered Mentally for Success, Inc. Former legal business name

National Provider Directory

National Provider Directory

Locations

5001 N Nebraska Ave
Tampa, FL 33603
Phone (813) 300-2891

NPI Registry JSON

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535500800000",
    "number": "1043792765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 292814",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336872814",
            "telephone_number": "813-300-2891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 N NEBRASKA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336032304",
            "telephone_number": "813-300-2891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIRLS EMPOWERED MENTALLY FOR SUCCESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-29",
        "last_updated": "2018-08-29",
        "status": "A",
        "authorized_official_last_name": "BAILES",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-495-5730",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Girls Empowered Mentally for Success, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Girls Empowered Mentally for Success, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Aug 29, 2018; 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.