Provider Demographics
NPI:1538484738
Name:PSYCHOTHERAPY ASSOCIATES OF TAMPA BAY, L.L.C.
Entity Type:Organization
Organization Name:PSYCHOTHERAPY ASSOCIATES OF TAMPA BAY, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:TOMMASI
Authorized Official - Suffix:
Authorized Official - Credentials:EDD, LMHC
Authorized Official - Phone:888-636-1306
Mailing Address - Street 1:27524 CASHFORD CIR STE 102
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544-6947
Mailing Address - Country:US
Mailing Address - Phone:888-636-1306
Mailing Address - Fax:888-909-0051
Practice Address - Street 1:27524 CASHFORD CIR STE 102
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-6947
Practice Address - Country:US
Practice Address - Phone:888-636-1306
Practice Address - Fax:888-636-1306
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-30
Last Update Date:2020-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 8137101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty