Growth and Wellness Mental Health Counseling and Supervision Services

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

GROWTH AND WELLNESS MENTAL HEALTH COUNSELING AND SUPERVISION SERVICES

Practice address

2429 Arborwood Dr
Valrico, FL 33596-5738

Phone

(813) 400-3743

NPI assigned

Feb 16, 2022

Last updated

Feb 16, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tisheila JusticeNPI 1497141030

Title

Owner

Phone

(813) 400-3743

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tisheila Sharee Justice, LCSW

  • Clinical Social Worker
  • Valrico, FL
  • NPI 1497141030
  NPD Authorized official

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

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644969600000",
    "number": "1417602632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 W BRANDON BLVD # 1182",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114717",
            "telephone_number": "813-400-3743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2429 ARBORWOOD DR",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335965738",
            "telephone_number": "813-400-3743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROWTH AND WELLNESS MENTAL HEALTH COUNSELING AND SUPERVISION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-16",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A",
        "authorized_official_last_name": "JUSTICE",
        "authorized_official_first_name": "TISHEILA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-400-3743"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Sarah Gran
• Grand Canyon Group Home LLC
• Nicole Louanne Greco-Aun, CD(DONA)
• Stephen Gres, O.D.
• Charlotte Grier
• George Ronnie Grubbs Jr., PSY.D.
• Lynn Marie Gulick, PHD
• Bevin C Guth, FNP
• Taveesha Guyton
• H.C. Miller LLC

• Adult Mental Health Clinic/Center in Valrico, FL
• Providers in Valrico, FL by specialty
• Adult Mental Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; 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.