Sand Grizzly, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SAND GRIZZLY, LLC

Practice address

611 Druid Rd E Ste 704
Clearwater, FL 33756-3939

Phone

(813) 375-1775

Fax

(813) 229-6609

NPI assigned

Dec 10, 2024

Organization subpart

No

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

Authorized official

Name

Robin Robinson

Title

Owner

Phone

(813) 375-1775

Specialties & licenses 4

Addresses

Other names 1

• Cactus Substance Abuse and Mental Health Evaluations Doing business as

Locations

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

{
    "created_epoch": "1733788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1871309120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 DRUID RD E STE 704",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563939",
            "telephone_number": "813-375-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 DRUID RD E STE 704",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563939",
            "telephone_number": "813-375-1775",
            "fax_number": "813-229-6609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAND GRIZZLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-10",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-375-1775"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cactus Substance Abuse and Mental Health Evaluations",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Lee Sanborn
• Cathy Lynn Sanborn, P.A.
• Ashley Brieanna Sanchez, PA-C
• Eric Sanchez, CST/CSFA
• Jennifer Yvette Sanchez, L.M.T.
• Sand Key Post Acute LLC
• Sandbay Family Practice, L.L.C.
• Sandcastle Care VII LLC
• Ashley Sanders, BA
• Cary Wayne Sanders

• Mental Health Counselor in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.