Therapeutic Alliance of Gainesville LLC

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

THERAPEUTIC ALLIANCE OF GAINESVILLE LLC

Practice address

1810 NW 6TH St Ste E
Gainesville, FL 32609-8535

Phone

(352) 213-5060

NPI assigned

May 8, 2019

Organization subpart

No

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

Authorized official

Name

Anamari Mazpule, LCSW

Title

Co-Owner

Phone

(352) 213-5060

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557273600000",
    "number": "1528623121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 NE 7TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326093726",
            "telephone_number": "352-213-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 NW 6TH ST STE E",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326098535",
            "telephone_number": "352-213-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC ALLIANCE OF GAINESVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-08",
        "last_updated": "2019-05-08",
        "status": "A",
        "authorized_official_last_name": "MAZPULE",
        "authorized_official_first_name": "ANAMARI",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "352-213-5060",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Social Worker in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; 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.