Me Time Healing LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH1226 Issued in FL

Legal business name

ME TIME HEALING LLC

Practice address

1600 S Dixie Hwy Ste 508
Boca Raton, FL 33432-7454

Phone

(561) 463-2073

NPI assigned

Jun 7, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Daniele Alexis Trevathan, LMHC, QS, MCAP, ICADNPI 1174990667

Title

C0-Owner

Phone

(561) 463-2073

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Daniele Alexis Trevathan, LMHC, QS, CAP

  • Mental Health Counselor
  • Boca Raton, FL
  • NPI 1174990667

  Addiction (Substance Use Disorder)

  NPD (past) Authorized official

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496793600000",
    "number": "1083143689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "842 SW 9TH STREET CIR APT 203",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334865215",
            "telephone_number": "561-866-8794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S DIXIE HWY STE 508",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334327454",
            "telephone_number": "561-463-2073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ME TIME HEALING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-07",
        "last_updated": "2017-06-07",
        "status": "A",
        "authorized_official_last_name": "TREVATHAN",
        "authorized_official_first_name": "DANIELE",
        "authorized_official_middle_name": "ALEXIS",
        "authorized_official_title_or_position": "C0-OWNER",
        "authorized_official_telephone_number": "561-463-2073",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC, QS, MCAP, ICAD"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH1226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2017; 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.