Tri-County Counseling & Life Skills Center

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

TRI-COUNTY COUNSELING & LIFE SKILLS CENTER

Practice address

12543 Tamiami TRL S
North Port, FL 34287-1446

Phone

(941) 429-3721

Fax

(941) 257-8395

NPI assigned

Feb 16, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Thomas George Glaza, ED.D-LMHC- CAP

Title

Ceo Clinical Director

Phone

(941) 876-3060

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414972800000",
    "number": "1972647899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12543 TAMIAMI TRL S",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342871446",
            "telephone_number": "941-429-3721",
            "fax_number": "941-257-8395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12543 TAMIAMI TRL S",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342871446",
            "telephone_number": "941-429-3721",
            "fax_number": "941-257-8395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-COUNTY COUNSELING & LIFE SKILLS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2014-11-03",
        "status": "A",
        "authorized_official_last_name": "GLAZA",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "CEO CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "941-876-3060",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ED.D-LMHC- CAP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "SR-58-AD-2079-01",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Total Therapy Florida LLC
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• Tracy'S Home Care Inc
• Steven Tran, PHARMD
• Exabrena Tresalus, RBT
• Tri-County Life Skills Centers LLC
• Rachael Trippett, LMHC
• Betty Trought
• Libian Trujillo Flores, APRN
• Aubry Trujillo-Vargas

• Mental Health Counselor in North Port, FL
• Providers in North Port, 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 Nov 3, 2014; 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.