Therapeutic Life Services, Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

THERAPEUTIC LIFE SERVICES, INC

Practice address

16071 Micelli Dr
Winter Garden, FL 34787-1821

Phone

(305) 607-2896

NPI assigned

Aug 26, 2020

Last updated

Nov 18, 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

David Gomez, MS, LMHC, BCBANPI 1922357227

Title

Mr.

Phone

(305) 607-2896

Specialties & licenses 2

Addresses

Electronic endpoints 1

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.

• David Gomez, LMHC, BCBA

  • Mental Health Counselor
  • Winter Garden, FL
  • NPI 1922357227
  NPD Authorized official

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668729600000",
    "number": "1225641616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7830 NW 161ST TER",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330166677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16071 MICELLI DR",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347871821",
            "telephone_number": "305-607-2896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC LIFE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-26",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MR.",
        "authorized_official_telephone_number": "305-607-2896",
        "authorized_official_credential": "MS, LMHC, BCBA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "David258@icloud.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "16071 Micelli Dr",
            "city": "Winter Garden",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347871821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Therapy Beyond Tomorrow, LLC
• Sophie Thibault, M.D.
• Joseph James Thixton
• Richard Wilkin Thom, PT, DPT
• Gregory Thomas, PHD

• Mental Health Counselor in Winter Garden, FL
• Providers in Winter Garden, 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 Nov 18, 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.