R.E.S.E.T. COUNSELING SERVICES LLC


Address: 1806 E Hanna Ave, Tampa, FL 33610-3543
Phone: 2015035642

R.E.S.E.T. COUNSELING SERVICES LLC (NPI# 1699388744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699388744
Entity Type Organization
Organization Name R.E.S.E.T. COUNSELING SERVICES LLC
Practice Address 1806 E Hanna Ave
Tampa
FL 33610-3543
Practice Telephone 2015035642
Mailing Telephone 2015035642
Enumeration Date 2020-08-28
Last Update Date 2020-08-28
Authorized Official Name MR. TIJUAN MALCOLM GRIMES (LICENSE MENTAL HEALTH COUNSELOR)
Authorized Official Telephone 2015035642
Authorized Official Credential LMHC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers
N 261QM0850X Clinic/Center
Specialization: Adult Mental Health
Ambulatory Health Care Facilities
Y 261QM0855X Clinic/Center
Specialization: Adolescent and Children Mental Health
Ambulatory Health Care Facilities

Office Location

Street Address 1806 E HANNA AVE
City TAMPA
State FL
Zip Code 33610-3543

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Taxonomy Information

Taxonomy Code 261QM0855X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adolescent and Children Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Notes: [7/1/2003: new]

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1851912489 Come Get Help Clinic/Center 11928 Sheldon Rd, Tampa, FL 33626-3643 2020-05-05
1952967887 Major Impact Support Services, Inc Clinic/Center 8875 Hidden River Pkwy, Tampa, FL 33637-1035 2019-05-16
1164807749 Nueva Vida Behavior Center of Tampa,inc. Clinic/Center 215 E Sligh Ave, Tampa, FL 33604 2015-07-24

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1780159061 Solutions Center for Personal Growth Clinic/Center 664 Se Monterey Rd, Stuart, FL 34994-4410 2018-10-12
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Competitor

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City TAMPA
Zip Code 33610

Improve Information

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Dataset Information

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.

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