NPIMap

Organization Active NPI

Life Focus Group of Tampa Bay

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tampa, FL
National Provider Identifier
1649400995
Registry record updated Jul 21, 2009
On this page

Key facts

NPPES NPI Registry
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2009

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

Authorized official

Name
Mindy Huelle, LCSW
Title
Owner/Operator
Phone
(813) 210-0394

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X SW8858 FL Primary

Addresses

Primary practice location

1202 Tech Blvd
Tampa, FL 33619-7871

Mailing address

1202 Tech Blvd
Tampa, FL 33619-7871

National Provider Directory

National Provider Directory

Locations

1202 Tech Blvd
Tampa, FL 33619
Phone (813) 210-0394

NPI Registry JSON

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": []
}

Other providers in Tampa, FL

Sources for this page

  • 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.