Blue Sky Therapeutic Services, LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

BLUE SKY THERAPEUTIC SERVICES, LLC

Practice address

6050 Shady LN
Tallahassee, FL 32309-8960

Phone

(850) 320-2071

NPI assigned

Mar 6, 2020

Organization subpart

No

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

Authorized official

Name

Dillon Garrett Welliver, LMHCNPI 1720351471

Title

Owner/Private Practice

Phone

(850) 320-2071

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.

• Dillon Garrett Welliver, LMHC, CAP

  • Mental Health Counselor
  • Daytona Beach, FL
  • NPI 1720351471
  NPD (past) Authorized official

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

{
    "created_epoch": "1583452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583452800000",
    "number": "1376178756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6050 SHADY LN",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323098960",
            "telephone_number": "850-320-2071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6050 SHADY LN",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323098960",
            "telephone_number": "850-320-2071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SKY THERAPEUTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-06",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A",
        "authorized_official_last_name": "WELLIVER",
        "authorized_official_first_name": "DILLON",
        "authorized_official_middle_name": "GARRETT",
        "authorized_official_title_or_position": "OWNER/PRIVATE PRACTICE",
        "authorized_official_telephone_number": "850-320-2071",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenara Janay Blocker, ARNP
• Bloom and Heal Therapy Services
• Angela Blount, PH.D., LMHC, LPC
• Samara Blount, PHARMD, RPH
• Blue Lotus Counseling and Holistic Wellness, LLC
• Rene Blue
• Sawyer Boakes
• Board of County Commissioners Leon County
• Samantha Boatwright, LCSW
• William Victor Bobo, M.D.

• Addiction (Substance Use Disorder) Counselor in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Addiction (Substance Use Disorder) Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; 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.