Diverse Interventions Social and Behavioral Sciences, LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

DIVERSE INTERVENTIONS SOCIAL AND BEHAVIORAL SCIENCES, LLC

Practice address

501 Sportsman Park Dr
Seffner, FL 33584-4153

Phone

(813) 531-5380

NPI assigned

Apr 11, 2023

Last updated

Apr 11, 2023By 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

Dr. Christine Li'Chele' Moore, PHDNPI 1184299471

Title

Ceo

Phone

(813) 531-5380

Specialties & licenses 2

Addresses

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.

• Christine Li'Chele' Moore, PH.D

  • Counselor
  • Tampa, FL
  • NPI 1184299471
  NPD Authorized official

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681171200000",
    "number": "1285329540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1526",
            "city": "SEFFNER",
            "state": "FL",
            "postal_code": "335831526",
            "telephone_number": "813-531-5380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 SPORTSMAN PARK DR",
            "city": "SEFFNER",
            "state": "FL",
            "postal_code": "335844153",
            "telephone_number": "813-531-5380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSE INTERVENTIONS SOCIAL AND BEHAVIORAL SCIENCES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-11",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "LI'CHELE'",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-531-5380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Early Intervention Provider Agency in Seffner, FL
• Providers in Seffner, FL by specialty
• Early Intervention Provider Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.