Candis Counseling & Therapeutic Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

11677 Issued in FL

Legal business name

CANDIS COUNSELING & THERAPEUTIC SERVICES LLC

Practice address

1103 N Wheeler St Ste C
Plant City, FL 33563-3112

Phone

(813) 754-1739

Fax

(813) 659-1292

NPI assigned

Oct 9, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Lavasaous A Candis, LMHC, CAP

Title

Owner/Licensed Therapist

Phone

(813) 754-1739

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1381276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381795200000",
    "number": "1427485309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 N WHEELER ST STE C",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335633112",
            "telephone_number": "813-754-1739",
            "fax_number": "813-659-1292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 N WHEELER ST STE C",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335633112",
            "telephone_number": "813-754-1739",
            "fax_number": "813-659-1292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDIS COUNSELING & THERAPEUTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-09",
        "last_updated": "2013-10-15",
        "status": "A",
        "authorized_official_last_name": "CANDIS",
        "authorized_official_first_name": "LAVASAOUS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/LICENSED THERAPIST",
        "authorized_official_telephone_number": "813-754-1739",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMHC, CAP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "11677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Cahill, MS, CF-SLP
• Lamon P Caldwell II, MSW/MDIV
• Tara M Calise, ARNP
• Leonila D Camba, M.D.
• Katherine Elaine Cancel, APRN
• Candace Lynn Cannon
• Jethro Angelo Capati
• Tiffany Michelle Capers
• Mildred Enid Caraballo
• Camili Carballo Flores

• Community/Behavioral Health Agency in Plant City, FL
• Providers in Plant City, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2013; 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.