Enloe Bruce Billingsley LCSW PA

Primary specialty

CounselorTaxonomy code 101Y00000X

License

SW0000194 Issued in FL

Legal business name

ENLOE BRUCE BILLINGSLEY LCSW PA

Practice address

1210 Millennium Pkwy
Suite 1030
Brandon, FL 33511-4896

Phone

(813) 654-8916

Fax

(813) 654-6952

NPI assigned

Sep 19, 2012

Organization subpart

No

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

Authorized official

Name

Enloe Bruce Billingsley, LCSW

Title

LCSW

Phone

(813) 654-8916

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348012800000",
    "number": "1104177948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 MILLENNIUM PARKWAY",
            "address_2": "SUITE 1030",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114858",
            "telephone_number": "813-654-8916",
            "fax_number": "813-654-6952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 MILLENNIUM PKWY",
            "address_2": "SUITE 1030",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114896",
            "telephone_number": "813-654-8916",
            "fax_number": "813-654-6952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENLOE BRUCE BILLINGSLEY LCSW PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-19",
        "last_updated": "2012-09-19",
        "status": "A",
        "authorized_official_last_name": "BILLINGSLEY",
        "authorized_official_first_name": "ENLOE",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "813-654-8916",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "FL",
            "license": "SW0000194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "Z1594",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Brandon, FL
• Providers in Brandon, FL by specialty
• Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; 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.