Lifeshare Management Group, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

IMH 9018 Issued in FL

Legal business name

LIFESHARE MANAGEMENT GROUP, INC

Practice address

6323 Memorial Hwy
Tampa, FL 33615-4509

Phone

(813) 891-9474

NPI assigned

Aug 21, 2012

Organization subpart

No

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

Authorized official

Name

Katie Veltri, M.S.

Title

Clinician

Phone

(904) 631-9375

Specialties & licenses 1

Addresses

Tax ID family

Lifeshare Management Group Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lifeshare Management Inc.

  • Case Management Agency
  • Tallahassee, FL
  • NPI 1598101453
  NPD tax ID

Locations

Practitioners 1

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

• Vanessa Morris

  • Mental Health Counselor
  • St Petersburg, FL
  • NPI 1528309549
  NPD (past)

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

{
    "created_epoch": "1345507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345507200000",
    "number": "1659629707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6323 MEMORIAL HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336154509",
            "telephone_number": "813-891-9474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6323 MEMORIAL HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336154509",
            "telephone_number": "813-891-9474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESHARE MANAGEMENT GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-21",
        "last_updated": "2012-08-21",
        "status": "A",
        "authorized_official_last_name": "VELTRI",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "904-631-9375",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "IMH 9018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Tampa, FL
• Providers in Tampa, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; 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.