Organization Active NPI

The Family Alliance, LLC

  • Marriage & Family Therapist
  • Spring Hill, FL
National Provider Identifier
1396190880
Registry record updated May 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT2881 Issued in FL
Legal business name
THE FAMILY ALLIANCE, LLC
Practice address
4090 Deltona Blvd
Spring Hill, FL 34606-2203
Phone
(352) 232-5525
NPI assigned
May 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2016

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

Authorized official

Name
Dr. Amanda Veldorale-Griffin, PHD, LMFT
Title
Owner
Phone
(352) 232-5525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X MT2881 FL Primary

Addresses

Primary practice location

4090 Deltona Blvd
Spring Hill, FL 34606-2203

Mailing address

4090 Deltona Blvd
Spring Hill, FL 34606-2203
Phone (352) 232-5525

Other identifiers 1

IdentifierTypeStateIssuer
1477825313OtherFLINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

4090 Deltona Blvd
Spring Hill, FL 34606
Phone (352) 232-5525

NPI Registry JSON

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

{
    "created_epoch": "1462233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462233600000",
    "number": "1396190880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4090 DELTONA BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346062203",
            "telephone_number": "352-232-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4090 DELTONA BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346062203",
            "telephone_number": "352-232-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FAMILY ALLIANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-03",
        "last_updated": "2016-05-03",
        "status": "A",
        "authorized_official_last_name": "VELDORALE-GRIFFIN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-232-5525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT2881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1477825313",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2016; 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.