LEARNING TO ACHIEVE WELLNESS INC NPI 1033849575

NPI Information

NPI: 1033849575
Provider Name: LEARNING TO ACHIEVE WELLNESS INC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
413 W ROBERTSON ST
BRANDON, FL
ZIP 33511
Phone: (813) 999-1516
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LEARNING TO ACHIEVE WELLNESS INC is a mental health (including community mental health center) clinic center in Brandon, FL. LEARNING TO ACHIEVE WELLNESS INC NPI is 1033849575. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

413 W ROBERTSON ST
BRANDON, FL
ZIP 33511-014
Phone: (813) 999-1516
Fax: (813) 336-8384

The provider's authorized official is Lillian Ingram .
The authorized official title is Owner and has the following contact phone number (813) 999-1516.

The enumeration date for this NPI number is 6/16/2022 and was last updated on 10/18/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	102546400	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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