ATUNWA PSYCHOLOGICAL AND COMMUNITY OUTREACH SERVICES, LLC (NPI# 1053918292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053918292 |
| Entity Type | Organization |
| Organization Name | ATUNWA PSYCHOLOGICAL AND COMMUNITY OUTREACH SERVICES, LLC |
| Practice Address |
1512 Blountstown St Tallahassee FL 32304-1109 |
| Mailing Address |
Po Box 15262 Tallahassee FL 32317-5262 |
| Practice Telephone | 8502994991 |
| Practice Fax Number | 8503904095 |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2020-10-01 |
| Authorized Official Name | JERMAINE ROBERTSON (LICENSED PSYCHOLOGIST) |
| Authorized Official Telephone | 8502994991 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
1512 BLOUNTSTOWN ST |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32304-1109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407144124 | Jermaine Tyron Robertson | Psychologist | 1512 Blountstown St, Tallahassee, FL 32304-1109 | 2011-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982214946 | Jamel V Chandler | Adult Companion | 2665 Mission Road., Tallahassee, FL 32304 | 2020-08-05 |
| 1578198248 | Thomson Ivins | Counselor | 175 Geddie Rd, Tallahassee, FL 32304 | 2020-03-03 |
| 1508210022 | Angela Nechele Hall | Physical Therapist | 1329 Abraham Street, Tallahassee, FL 32304 | 2016-04-21 |
| 1780064329 | Bennie Thompkins | Dentist | 535 Apple Yard Dr, Tallahassee, FL 32304 | 2015-06-08 |
| 1104241314 | Osita Abanah | Pharmacist | 1819 West Tennessee St, Tallahassee, FL 32304 | 2014-02-25 |
| 1437584265 | Kristan Aliesha Morgan | Nurse Practitioner | 501 Capital Circle Ne, Tallahassee, FL 32304 | 2013-09-11 |
| 1649550047 | Bond Community Health Center, Inc. | Internal Medicine | 1704 Joe Lewis Street, Tallahassee, FL 32304 | 2011-08-17 |
| 1639309842 | Bond Community Health Center | Internal Medicine | 2729-8 Municipal Way, Kay Freeman Health Center, Tallahassee, FL 32304 | 2009-07-22 |
| 1104016401 | Elder Care Services, Inc. | Homemaker | 2518 W Tennessee St, Tallahassee, FL 32304 | 2007-08-01 |
| 1760548234 | Patricia Janice Mitchell | Adult Companion | 4177 Pleasant Drive, Tallahassee, FL 32304 | 2006-12-29 |
| Find all providers in zip 32304 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821576620 | Vera Matejic Lcsw, LLC | Clinic/Center | 1325 E Tennessee St Ofc 2, Tallahassee, FL 32308-5107 | 2018-08-02 |
| 1164403754 | Community Intervention Center, Inc. | Clinic/Center | 345 Office Plz, Tallahassee, FL 32301-2729 | 2005-11-10 |
| 1952949588 | Bright Future Behavioral Health Inc. | Clinic/Center | 11293 Turkey Roost Rd, Tallahassee, FL 32317-8246 | 2019-12-13 |
| 1295292092 | Better Livingsolutions Recovery Center, LLC | Clinic/Center | 1202 E Park Ave, Tallahassee, FL 32301-2653 | 2019-02-27 |
| 1306333935 | Beth Liljestrand | Clinic/Center | 3201 Shamrock St S Ste 103, Tallahassee, FL 32309-3349 | 2018-04-19 |
| 1144738568 | Capital Psychology Consultants, LLC | Clinic/Center | 227 E Virginia St, Tallahassee, FL 32301-1263 | 2018-01-19 |
| 1164975496 | Counseling for Life, LLC | Clinic/Center | 2888 Mahan Dr, Suite 1, Tallahassee, FL 32308-5464 | 2016-08-03 |
| 1184078016 | Anne Tierney, Lcsw, LLC | Clinic/Center | 2065 Delta Way, Suite 1, Tallahassee, FL 32303-4241 | 2016-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073114823 | Community Behavior Care LLC | Clinic/Center | 221 Ne 164th Street, Unit 276, North Miami Beach, FL 33160 | 2020-11-06 |
| 1912508938 | Melissa Frieder, LLC | Clinic/Center | 7001 Sw 97th Ave Ste 203, Miami, FL 33173-1407 | 2020-11-05 |
| 1073114278 | Love Family Health Center Corp | Clinic/Center | 313 Palm Ave, Hialeah, FL 33010-4715 | 2020-11-04 |
| 1235730417 | Aspire Health Partners, Inc. | Clinic/Center | 4520 Oak Fair Blvd, Tampa, FL 33610-7356 | 2020-11-04 |
| 1053912469 | Loves Community Mental Health Inc | Clinic/Center | 2 Nw 30th Ave, Miami, FL 33125 | 2020-11-03 |
| 1437759032 | Loves Community Mental Health Inc | Clinic/Center | 3011 W Flagler St Unit A, Miami, FL 33135-1222 | 2020-11-01 |
| 1790385342 | New Family Wellness Center Inc | Clinic/Center | 8200 Nw 41st St Ste 200-98, Doral, FL 33166-6205 | 2020-10-31 |
| 1619577475 | Prestige Behavioral Health Center, LLC | Clinic/Center | 7318 W 20th Ave, Hialeah, FL 33016-1855 | 2020-10-29 |
| 1255931101 | Pine Grove Counseling LLC | Clinic/Center | 539 Se Van Loon Ter, Cape Coral, FL 33990-1157 | 2020-10-29 |
| 1831799766 | Mindset Mental Health Services Inc | Clinic/Center | 12485 Sw 137th Ave Ste 109, Miami, FL 33186-4215 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
| City | TALLAHASSEE |
| Zip Code | 32304 |
Please comment or provide details below to improve the information on ATUNWA PSYCHOLOGICAL AND COMMUNITY OUTREACH SERVICES, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.