Back Nine Ventures Corp

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BACK NINE VENTURES CORP

Practice address

6236 Scarlet Darter Way
Tampa, FL 33625-3209

Phone

(813) 261-3171

NPI assigned

Jul 17, 2024

Organization subpart

No

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

Authorized official

Name

Chad Hardwick

Title

Authorized Official

Phone

(813) 261-3171

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721174400000",
    "number": "1386482149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6236 SCARLET DARTER WAY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336253209",
            "telephone_number": "813-261-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6236 SCARLET DARTER WAY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336253209",
            "telephone_number": "813-261-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK NINE VENTURES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-16",
        "status": "A",
        "authorized_official_last_name": "HARDWICK",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "813-261-3171"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Ann Bachman, M.D.
• Bret Bachman, RPH
• Karen Marie Bachmann, RPH
• Morgan Bachmann
• Kathryn Ann Bacho
• Back to Health Rehab, Inc.
• Martin Back, MD
• Back2Sleep, LLC
• Back2Sleep,LLC
• Emily G Backes

• Mental Health Counselor in Tampa, FL
• Providers in Tampa, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.

Verify at the official NPI Registry.