Life Focus Group of Tampa Bay

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

SW8858 Issued in FL

Legal business name

LIFE FOCUS GROUP OF TAMPA BAY

Practice address

1202 Tech Blvd
Tampa, FL 33619-7871

Phone

(813) 210-0394

NPI assigned

Jul 21, 2009

Last updated

Jul 21, 2009By 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

Mindy Huelle, LCSWNPI 1427238187

Title

Owner/Operator

Phone

(813) 210-0394

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mindy Lynn Huelle, LCSW

  • Social Worker
  • Asheville, NC
  • NPI 1427238187
  Authorized official Same address or phone

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248134400000",
    "number": "1649400995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 TECH BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336197871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 TECH BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336197871",
            "telephone_number": "813-210-0394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE FOCUS GROUP OF TAMPA BAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-21",
        "last_updated": "2009-07-21",
        "status": "A",
        "authorized_official_last_name": "HUELLE",
        "authorized_official_first_name": "MINDY",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "813-210-0394",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "FL",
            "license": "SW8858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ravy Lieng, LCSW
• Life Balance Medical Group LLC
• Life Blessing Behavior Corp
• Life Cycles Guardianship Foundation, Inc.
• Life Extension Clinics, Inc (Life Scan Wellness Centers)
• Life Long Home Care Corp
• Life of Purpose Inc.
• Life Senior Home Care Corp
• Life Senior Home Care Corp
• Life Span Rehab Corp

• Mental Health Clinic/Center (Including Community Mental Health Center) in Tampa, FL
• Providers in Tampa, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2009; 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.