Active NPI
Mentallyu Therapy
- Mental Health Counselor
- New Port Richey, FL
National Provider Identifier
1265202683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- MENTALLYU THERAPY
- Practice address
- 5535 Grand Blvd Ste a
New Port Richey, FL 34652-3843 - Phone
- (352) 269-5598
- Fax
- (813) 618-5022
- NPI assigned
- Jan 5, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wandaliz Marrero
- Title
- LMHC/Owner
- Phone
- (352) 269-5598
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
5535 Grand Blvd Ste a
New Port Richey, FL 34652-3843
Mailing address
4698 Mariner Blvd
Spring Hill, FL 34609-1945
Phone (352) 269-5598
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704412800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704412800000",
"number": "1265202683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4698 MARINER BLVD",
"city": "SPRING HILL",
"state": "FL",
"postal_code": "346091945",
"telephone_number": "352-269-5598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5535 GRAND BLVD STE A",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346523843",
"telephone_number": "352-269-5598",
"fax_number": "813-618-5022"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MENTALLYU THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-05",
"last_updated": "2024-01-05",
"certification_date": "2024-01-05",
"status": "A",
"authorized_official_last_name": "MARRERO",
"authorized_official_first_name": "WANDALIZ",
"authorized_official_title_or_position": "LMHC/OWNER",
"authorized_official_telephone_number": "352-269-5598"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Port Richey, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.