Active NPI
Take Flight Counseling & Consulting, LLC
- Mental Health Counselor
- Vero Beach, FL
National Provider Identifier
1508470550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- TAKE FLIGHT COUNSELING & CONSULTING, LLC
- Practice address
- 505 Beachland Blvd Ste 1-2027
Vero Beach, FL 32963-1710 - Phone
- (772) 202-0178
- NPI assigned
- Sep 6, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Demetria Marria Williams, LMHC
- Title
- Ceo
- Phone
- (772) 202-0178
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
505 Beachland Blvd Ste 1-2027
Vero Beach, FL 32963-1710
Mailing address
505 Beachland Blvd Ste 1-2027
Vero Beach, FL 32963-1710
Phone (772) 202-0178
National Provider Directory
National Provider DirectoryLocations
505 Beachland Blvd
Ste 12027
Vero Beach, FL 32963
Phone (772) 202-0178
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Vero Beach, FL
- NPI 1134587504
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728604800000",
"number": "1508470550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 BEACHLAND BLVD STE 1-2027",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329631710",
"telephone_number": "772-202-0178",
"fax_number": "772-672-3816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 BEACHLAND BLVD STE 1-2027",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329631710",
"telephone_number": "772-202-0178"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TAKE FLIGHT COUNSELING & CONSULTING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-06",
"last_updated": "2024-10-11",
"certification_date": "2024-10-11",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "DEMETRIA",
"authorized_official_middle_name": "MARRIA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "772-202-0178",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.