Premier Counseling and Wellness LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW13296 Issued in FL

Legal business name

PREMIER COUNSELING AND WELLNESS LLC

Practice address

3831 Tyrone Blvd N Ste 201C
St Petersburg, FL 33709-4114

Phone

(727) 835-8822

NPI assigned

Mar 19, 2018

Last updated

May 10, 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

Allison Nicola, LCSW

Title

LCSW

Phone

(727) 835-8822

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525910400000",
    "number": "1306340112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3831 TYRONE BLVD N STE 201C",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337094114",
            "telephone_number": "603-960-1571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3831 TYRONE BLVD N STE 201C",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337094114",
            "telephone_number": "727-835-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER COUNSELING AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-19",
        "last_updated": "2018-05-10",
        "status": "A",
        "authorized_official_last_name": "NICOLA",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "727-835-8822",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW13296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in St Petersburg, FL
• Providers in St Petersburg, 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 May 10, 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.