Way of Life Behavioral Health

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

WAY OF LIFE BEHAVIORAL HEALTH

Practice address

3902 Henderson Blvd Ste 208
Tampa, FL 33629-5034

Phone

(321) 222-3127

NPI assigned

Oct 4, 2017

Last updated

Oct 4, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Trevor Seaton Thomas Sr.

Title

Ceo

Phone

(321) 217-7632

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1507075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507075200000",
    "number": "1093225047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3399 MCCORMICK WOODS DR",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347614462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3902 HENDERSON BLVD STE 208",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336295034",
            "telephone_number": "321-222-3127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAY OF LIFE BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-04",
        "last_updated": "2017-10-04",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_middle_name": "SEATON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "321-217-7632",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Amy Marie Wayman, MSW
• Jasmine Wayman
• Wayne E. Davidson, LMHC
• Diane Elizabeth Watts Wayne, LMHC CAP
• Martrice Ways, LICSW

• Case Management Agency in Tampa, FL
• Providers in Tampa, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.