South Tampa Therapy and Wellness Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SOUTH TAMPA THERAPY AND WELLNESS INC

Practice address

3825 Henderson Blvd Ste 304
Tampa, FL 33629-5021

Phone

(813) 281-2177

NPI assigned

Apr 7, 2021

Last updated

Mar 8, 2022By 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

Yvette Tucholski-Dekeles, LMHCNPI 1932324340

Title

President

Phone

(813) 281-2177

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, and the practitioner matching its NPPES authorized official.

• Yvette Tucholski-Dekeles

  • Mental Health Counselor
  • Hollywood, FL
  • NPI 1932324340
  NPD Authorized official

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646697600000",
    "number": "1154900991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 HENDERSON BLVD STE 304",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336295021",
            "telephone_number": "813-281-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 HENDERSON BLVD STE 304",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336295021",
            "telephone_number": "813-281-2177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH TAMPA THERAPY AND WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-07",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A",
        "authorized_official_last_name": "TUCHOLSKI-DEKELES",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-281-2177",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Tampa Private Therapy, LLC
• South Tampa Psychiatry
• South Tampa Psychotherapy LLC
• South Tampa Surgery Center, LLC.
• South Tampa Surgical PLLC
• South Tampa Voice Therapy, LLC
• Joe South, PA-C
• Samantha South
• Southeast Express Transportation LTD
• Southeast Med Supplies LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Tampa, FL
• Providers in Tampa, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; 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.