Active NPI
Crossroadz Coaching LLC
- Mental Health Counselor
- Odessa, FL
National Provider Identifier
1538065404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- CROSSROADZ COACHING LLC
- Practice address
- 15307 Lake Maurine Dr
Odessa, FL 33556-3113 - Phone
- (813) 355-0286
- NPI assigned
- Oct 17, 2026
- Last updated
- Oct 17, 2026
- 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
- Frank Taylor
- Title
- Owner
- Phone
- (813) 355-0286
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | |||
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
15307 Lake Maurine Dr
Odessa, FL 33556-3113
Mailing address
15307 Lake Maurine Dr
Odessa, FL 33556-3113
Phone (813) 355-0286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792195200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1792195200000",
"number": "1538065404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15307 LAKE MAURINE DR",
"city": "ODESSA",
"state": "FL",
"postal_code": "335563113",
"telephone_number": "813-355-0286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15307 LAKE MAURINE DR",
"city": "ODESSA",
"state": "FL",
"postal_code": "335563113",
"telephone_number": "813-355-0286"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CROSSROADZ COACHING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-17",
"last_updated": "2026-10-17",
"certification_date": "2026-10-16",
"status": "A",
"authorized_official_last_name": "TAYLOR",
"authorized_official_first_name": "FRANK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "813-355-0286"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Berthy Dasque, R.N
- Shawn Davis, LCSW
- Monica A De la Llave
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.