Selah - a Space Between, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SELAH - A SPACE BETWEEN, LLC

Practice address

710 Vanderbaker Rd
Temple Terrace, FL 33617-7867

Phone

(813) 418-1966

NPI assigned

Jul 30, 2025

Last updated

Jul 30, 2025By 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

Ms. Kimberly M Meek, LCSWNPI 1114671807

Title

Owner

Phone

(813) 418-1966

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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.

• Kimberly M Meek

  • Clinical Social Worker
  • Brandon, FL
  • NPI 1114671807
  Medicare reassignment Care Compare group NPD Authorized official
• Melissa Braughton

  • Clinical Social Worker
  • Brandon, FL
  • NPI 1598577660
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1753833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753833600000",
    "number": "1710860374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 VANDERBAKER RD",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336177867",
            "telephone_number": "813-418-1966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 VANDERBAKER RD",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336177867",
            "telephone_number": "813-418-1966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELAH - A SPACE BETWEEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-30",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A",
        "authorized_official_last_name": "MEEK",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-418-1966",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lance Schwecke, PTA
• Matthew A Scott, PAC
• Nicholas Scott
• Brittany Faye Sears, CGC
• Gabrielle Segura
• Ryan Seyersdahl, PTA
• Hetali Binoy Shah
• Mazhar Shah, M.D.
• Pragnesh Rajnikant Shah, M.D.
• Muhammad Asim Shahzad, MD

• Clinical Social Worker in Temple Terrace, FL
• Providers in Temple Terrace, 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 Jul 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.