Southwest Psychotherapy and Counseling Center Inc

Primary specialty

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

License

SW5984 Issued in FL

Legal business name

SOUTHWEST PSYCHOTHERAPY AND COUNSELING CENTER INC

Practice address

22655 Bayshore Rd
Suite 110
Port Charlotte, FL 33980-2018

Phone

(941) 766-8835

NPI assigned

Nov 9, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Vijaya K Murty-Velamakanni, MSW LCSW ACSW

Title

President/Ceo

Phone

(941) 766-8835

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194566400000",
    "number": "1821278680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22655 BAYSHORE RD",
            "address_2": "SUITE 110",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339802018",
            "telephone_number": "941-766-8835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22655 BAYSHORE RD",
            "address_2": "SUITE 110",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339802018",
            "telephone_number": "941-766-8835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST PSYCHOTHERAPY AND COUNSELING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-09",
        "last_updated": "2007-11-09",
        "status": "A",
        "authorized_official_last_name": "MURTY-VELAMAKANNI",
        "authorized_official_first_name": "VIJAYA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "941-766-8835",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW LCSW ACSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "FL",
            "license": "SW5984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Port Charlotte, FL
• Providers in Port Charlotte, 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 Nov 9, 2007; 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.