TAMPA LIFE CHANGE (NPI# 1912370594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912370594 |
| Entity Type | Organization |
| Organization Name | TAMPA LIFE CHANGE |
| Practice Address |
720 W Dr Martin Luther King Jr Blvd Suite B Tampa FL 33603-3134 |
| Practice Telephone | 8133331425 |
| Mailing Telephone | 8133331425 |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2015-11-04 |
| Authorized Official Name | ANIESA SCHNEBERGER (THERAPIST) |
| Authorized Official Telephone | 8133331425 |
| Authorized Official Credential | LMHC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
MH12974 | FL | Ambulatory Health Care Facilities |
| Street Address |
720 W DR MARTIN LUTHER KING JR BLVD SUITE B |
| City | TAMPA |
| State | FL |
| Zip Code | 33603-3134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942256904 | Gonzalez Walker & Webb Md | Psychiatry & Neurology | 720 W Dr Martin Luther King Jr Blvd, Tampa, FL 33603-3134 | 2006-05-25 |
| 1619352721 | Tampa Center for Acupuncture & Integrative Medicine, LLC | Acupuncturist | 720 W Dr Martin Luther King Jr Blvd, Suite B, Tampa, FL 33603-3134 | 2015-07-30 |
| 1972542694 | Susan Hansted-walker | Nurse Practitioner | 720 W Dr Martin Luther King Jr Blvd, Tampa, FL 33603-3134 | 2006-06-06 |
| 1467491605 | Charles G Walker | Psychiatry & Neurology | 720 W Dr Martin Luther King Jr Blvd, Tampa, FL 33603-3134 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700400959 | Jean V. Dieudonne | Pharmacist | 701 W. Dr Martin Luther King Blvd, Tampa, FL 33603 | 2020-06-03 |
| 1538791082 | Champion Wellness Center of The Heights | Chiropractor | 800 W Martin Luther King Jr Blvd, Suite 3, Tampa, FL 33603 | 2020-02-12 |
| 1700366010 | Marie A Brister Md LLC | Family Medicine | 508 W Dr Martin Luther King Jr Blvd Ste A, Tampa, FL 33603 | 2018-08-16 |
| 1619415197 | Riverside Recovery of Tampa, LLC | Substance Abuse Rehabilitation Facility | 4004 N. Riverside Dr., Tampa, FL 33603 | 2017-02-06 |
| 1306213194 | Jacqueline Dowgiallo | Case Manager/Care Coordinator | 4004 N Riverside Dr, Tampa, FL 33603 | 2015-08-27 |
| 1629487061 | Robin Ann Waters | Social Worker | 1016 W Hillsborough Ave, Tampa, FL 33603 | 2014-08-11 |
| 1831430453 | Cassandra Gonzalez | Social Worker | 1726 W Rio Vista Ave, Tampa, FL 33603 | 2013-03-06 |
| 1487908893 | Spine Injury Physicians LLC | Neurological Surgery | 607 W Martin Luther King Blvd, Suite 1, Tampa, FL 33603 | 2012-11-07 |
| 1861742124 | Joseph Timothy Candelore Jr. | Internal Medicine | 2333 W Hillsborough Ave Ste 160, Tampa, FL 33603 | 2012-09-14 |
| 1679835599 | Odessa Biandudi | Dentist | 825 West Martin Luther King Boulevard, Tampa, FL 33603 | 2012-06-15 |
| Find all providers in zip 33603 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790397479 | Eloy Franco Md LLC | Clinic/Center | 7320 E Fletcher Ave Ste 108, Tampa, FL 33637-0916 | 2020-08-23 |
| 1275166563 | Masagana | Clinic/Center | 9315 N 16th St, Tampa, FL 33612-8655 | 2020-02-15 |
| 1952734972 | Caroline Seignon | Clinic/Center | 20205 Autumn Fern Ave, Tampa, FL 33647 | 2013-08-13 |
| 1902425390 | Kris Mulhollen LLC | Clinic/Center | 1200 W Platt St Ste 202, Tampa, FL 33606-2136 | 2020-04-15 |
| 1952960684 | Rosana Marzullo-dove, Psyd, LLC | Clinic/Center | 912 W Platt St Ste 101, Tampa, FL 33606-2108 | 2019-06-06 |
| 1407412075 | Healthy Mind, Corp | Clinic/Center | 1200 W Platt St Ste 202, Tampa, FL 33606-2136 | 2019-05-19 |
| 1417467283 | James A. Haley Va | Clinic/Center | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2017-10-06 |
| 1750816054 | Rpa Healthcare LLC | Clinic/Center | 3010 E 138th Ave, Suite 7, Tampa, FL 33613-3904 | 2017-04-24 |
| 1104362979 | Lisa M. Petrica-moser, Ph.d. Inc. | Clinic/Center | 2727 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6383 | 2017-01-17 |
| 1982089561 | Dr. Maryam Behdarvandi | Clinic/Center | 2908 W Waters Ave Ste 101, Tampa, FL 33614-1874 | 2015-07-24 |
| Find all providers in TAMPA | ||||
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| 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.