The Life Center of the Suncoast, Inc.

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LMHC1340 Issued in FL

Legal business name

THE LIFE CENTER OF THE SUNCOAST, INC.

Practice address

6811 N. Central Avenue
Tampa, FL 33604-5500

Phone

(813) 237-3114

Fax

(866) 457-5422

NPI assigned

Jul 5, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Sheryle R. Baker, LMHC 1340

Title

Executive Director & Licensed Couns

Phone

(813) 237-3114

Specialties & licenses 2

Addresses

Other names 1

• The Life Center Other name

Locations

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341446400000",
    "number": "1407111503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6811 N. CENTRAL AVENUE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336045500",
            "telephone_number": "813-237-3114",
            "fax_number": "866-457-5422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6811 N. CENTRAL AVENUE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336045500",
            "telephone_number": "813-237-3114",
            "fax_number": "866-457-5422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LIFE CENTER OF THE SUNCOAST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-05",
        "last_updated": "2012-07-05",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "SHERYLE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR & LICENSED COUNS",
        "authorized_official_telephone_number": "813-237-3114",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC 1340"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "FL",
            "license": "LMHC1340",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "LMHC1340",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Life Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; 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.