Counseling & Wellness Boutique LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

COUNSELING & WELLNESS BOUTIQUE LLC

Practice address

1503 S US Highway 301 Ste E16
Tampa, FL 33619-5126

Phone

(813) 591-4868

Fax

(813) 279-2551

NPI assigned

May 1, 2018

Last updated

Aug 30, 2019By 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

Mrs. Taina Thorpe, LCSWNPI 1366886574

Title

Clinical Director

Phone

(813) 591-4868

Specialties & licenses 1

Addresses

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.

• Taina Thorpe, LCSW

  • Clinical Social Worker
  • Tampa, FL
  • NPI 1366886574
  Authorized official Same address or phone
• Suhaila Mubaslat

  • Clinical Social Worker
  • Tampa, FL
  • NPI 1245804251
  NPD

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

{
    "created_epoch": "1525132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567123200000",
    "number": "1992294375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11705 BOYETTE RD # 248",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335695533",
            "telephone_number": "813-591-4868",
            "fax_number": "813-279-2551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 S US HIGHWAY 301 STE E16",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336195126",
            "telephone_number": "813-591-4868",
            "fax_number": "813-279-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING & WELLNESS BOUTIQUE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-01",
        "last_updated": "2019-08-30",
        "status": "A",
        "authorized_official_last_name": "THORPE",
        "authorized_official_first_name": "TAINA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "813-591-4868",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Nichole Coughlin, DO
• Rachel Antonette Coughlin, DOULA
• Una Joyce Coulter, CRNFA
• Marisa Couluris, DO
• Cole Council
• Counseling for Growth & Healing LLC
• Counseling Foundations
• Counseling the Soul LLC
• Counselorbarb, P.a.
• Countryway Eyecare

• Clinical Social Worker in Tampa, FL
• Providers in Tampa, 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 Aug 30, 2019; 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.