Provider Demographics
NPI:1578216982
Name:TAMPA BAY THERAPY AND TRAINING SERVICES, LLC
Entity Type:Organization
Organization Name:TAMPA BAY THERAPY AND TRAINING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:IVYIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:813-417-8238
Mailing Address - Street 1:15100 HUTCHISON RD STE 112
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33625-5512
Mailing Address - Country:US
Mailing Address - Phone:813-438-3494
Mailing Address - Fax:
Practice Address - Street 1:15100 HUTCHISON RD STE 112
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33625-5512
Practice Address - Country:US
Practice Address - Phone:813-438-3494
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-27
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty