Mental Fitness Group, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

PY9265 Issued in FL

Legal business name

MENTAL FITNESS GROUP, LLC

Practice address

8875 Hidden River Pkwy Ste 300
Tampa, FL 33637

Phone

(813) 482-7110

NPI assigned

Nov 15, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

George Johnson III

Title

Chief Operating Officer

Phone

(813) 482-7110

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lawanda Ford-Johnson, PSY.D.

  • Clinical Psychologist
  • Tallahassee, FL
  • NPI 1609112630
  NPD (past)

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

{
    "created_epoch": "1510704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533945600000",
    "number": "1346753134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8606 BANEBERRY CT",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473006",
            "telephone_number": "813-391-9741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8875 HIDDEN RIVER PKWY STE 300",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33637",
            "telephone_number": "813-482-7110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL FITNESS GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-15",
        "last_updated": "2018-08-11",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "813-482-7110",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "FL",
            "license": "PY9265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raquel Menocal
• Victoria Ostheimer Menold, M.D.
• Menopositive Solutions Professional, LLC
• Menovations Wellness LLC.
• Stella Effah Mensah, APRN
• Mental Health Resource Center Inc
• Mental Stability Group LLC
• Mentality Counseling & Consulting, LLC
• Mentally Steady Behavioral Health LLC
• Nicole Stephanie Menzie, M.A.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Tampa, FL
• Providers in Tampa, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

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