Organization Active NPI

TK Center for Healing & Wellness, LLC

  • Clinical Social Worker
  • Tallahassee, FL
National Provider Identifier
1609512839
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
TK CENTER FOR HEALING & WELLNESS, LLC
Practice address
3551 S Blair Stone Rd Ste 105-127
Tallahassee, FL 32301-8826
Phone
(850) 296-2365
NPI assigned
May 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2022

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

Authorized official

Name
Meshaundray Thomas, MSW, LCSW-QSNPI 1881207793
Title
Owner/Licensed Therapist
Phone
(850) 296-2365

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

3551 S Blair Stone Rd Ste 105-127
Tallahassee, FL 32301-8826

Mailing address

3551 S Blair Stone Rd Ste 105-127
Tallahassee, FL 32301-8826

National Provider Directory

National Provider Directory

Locations

3551 S Blair Stone Rd
Ste 105127
Tallahassee, FL 32301
Phone (850) 296-2365

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652140800000",
    "number": "1609512839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3551 S BLAIR STONE RD STE 105-127",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323018826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 S BLAIR STONE RD STE 105-127",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323018826",
            "telephone_number": "850-296-2365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TK CENTER FOR HEALING & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-10",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "MESHAUNDRAY",
        "authorized_official_title_or_position": "OWNER/LICENSED THERAPIST",
        "authorized_official_telephone_number": "850-296-2365",
        "authorized_official_credential": "MSW, LCSW-QS"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; 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.