Active NPI
Learning to Heal Therapy, LLC
- Clinical Social Worker
- Fort Walton Beach, FL
National Provider Identifier
1972210664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- LEARNING TO HEAL THERAPY, LLC
- Practice address
- 1724 Quail Path
Fort Walton Beach, FL 32547-6812 - Phone
- (850) 684-0291
- NPI assigned
- Nov 1, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jesselin Mendoza, MSW, LCSW
- Title
- Ceo
- Phone
- (850) 684-0291
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
1724 Quail Path
Fort Walton Beach, FL 32547-6812
Mailing address
1724 Quail Path
Fort Walton Beach, FL 32547-6812
Phone (850) 684-0291
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Oceanside, CA
- NPI 1053034066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667260800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1667260800000",
"number": "1972210664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1724 QUAIL PATH",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325476812",
"telephone_number": "850-684-0291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1724 QUAIL PATH",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325476812",
"telephone_number": "850-684-0291"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEARNING TO HEAL THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-01",
"last_updated": "2022-11-01",
"certification_date": "2022-11-01",
"status": "A",
"authorized_official_last_name": "MENDOZA",
"authorized_official_first_name": "JESSELIN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "850-684-0291",
"authorized_official_credential": "MSW, LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Walton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.