Apollo Beach Therapy, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

APOLLO BEACH THERAPY, LLC

Practice address

200 Frandorson Cir Ste 205
Apollo Beach, FL 33572-2691

Phone

(813) 494-8643

Fax

(813) 494-8708

NPI assigned

Jan 31, 2013

Last updated

Apr 5, 2018By 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

Ms. Miriam Innocenti, LCSW

Title

Sole Member

Phone

(813) 494-8643

Specialties & licenses 1

Addresses

Other names 1

• MI Counseling of New Tampa, LLC Former legal business name

Locations

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

{
    "created_epoch": "1359590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522886400000",
    "number": "1245579978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7342 PARKSHORE DR",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335721566",
            "telephone_number": "813-494-8643",
            "fax_number": "813-971-8508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 FRANDORSON CIR STE 205",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335722691",
            "telephone_number": "813-494-8643",
            "fax_number": "813-494-8708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOLLO BEACH THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-31",
        "last_updated": "2018-04-05",
        "status": "A",
        "authorized_official_last_name": "INNOCENTI",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "813-494-8643",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MI Counseling of New Tampa, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Apollo Beach Concierge
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• Apollo Beach Physical Therapy, Inc.
• Apollo Beach Therapy Center LLC
• Apollo Medical Services LLC
• Apollo Medical Services, LLC
• Apple a Day Virtual Clinic
• Sophia M Arias, MS CCC SLP
• Salma Atassi, DMD

• Clinical Social Worker in Apollo Beach, FL
• Providers in Apollo Beach, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2018; 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.