Daybreak Counseling, P.a.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW10936 Issued in FL

Legal business name

DAYBREAK COUNSELING, P.A.

Practice address

100 S Kentucky Ave
Ste 240
Lakeland, FL 33801-5096

Phone

(863) 660-6640

NPI assigned

Feb 12, 2013

Last updated

Nov 8, 2013By 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

Mr. Christopher Simms, LCSW

Title

President

Phone

(863) 660-6640

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1360627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383868800000",
    "number": "1548509409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S KENTUCKY AVE",
            "address_2": "STE 240",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338015096",
            "telephone_number": "863-660-6640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S KENTUCKY AVE",
            "address_2": "STE 240",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338015096",
            "telephone_number": "863-660-6640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYBREAK COUNSELING, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-12",
        "last_updated": "2013-11-08",
        "status": "A",
        "authorized_official_last_name": "SIMMS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-660-6640",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW10936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Lyn Davis, RBT
• Stephanie Rozell Davis, RN
• Whitney Davis
• Nicole Marie Dawson, MD
• Stephanie Renea Dawson, IBCLC
• Tania Cristina De Jesus Brady, NP
• Wileen De Jesus Caro
• Gustavo Alberto De Jesus-Gomez, M.D.
• Malena De la Concepcion Hernandez
• Giovaninna De la Cruz, MD

• Clinical Social Worker in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Clinical Social Worker in Florida

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