Organization Active NPI

Brown Sugar Wellness, LLC

  • Community/Behavioral Health Agency
  • Tampa, FL
National Provider Identifier
1053934000
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BROWN SUGAR WELLNESS, LLC
Practice address
6408 N Armenia Ave Ste E-1
Tampa, FL 33604-5770
Phone
(813) 679-6279
NPI assigned
May 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Authorized official

Name
Ms. Phekila Johnson, LMHCNPI 1881137941
Title
Owner
Phone
(813) 679-6279

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

6408 N Armenia Ave Ste E-1
Tampa, FL 33604-5770

Mailing address

9008 N 78TH St Apt B
Tampa, FL 33637-6413
Phone (813) 532-0281

Other practice location 1

9008 N 78th St Apt B
Tampa, FL 33637-6413
Phone (813) 532-0281

National Provider Directory

National Provider Directory

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": "1590451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600214400000",
    "number": "1053934000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9008 N 78TH ST APT B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336376413",
            "telephone_number": "813-532-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6408 N ARMENIA AVE STE E-1",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336045770",
            "telephone_number": "813-679-6279"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9008 N 78th St Apt B",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336376413",
            "country_code": "US",
            "telephone_number": "813-532-0281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BROWN SUGAR WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-26",
        "last_updated": "2020-09-16",
        "certification_date": "2020-08-14",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "PHEKILA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-679-6279",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral 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 Sep 16, 2020; 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.