APOLLO BEACH THERAPY LLC NPI 1245579978

NPI Details

APOLLO BEACH THERAPY, LLC is a clinical social worker in Apollo Beach, FL. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. APOLLO BEACH THERAPY, LLC NPI is 1245579978. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Mi Counseling Of New Tampa, Llc.

The provider's business location address is:

200 FRANDORSON CIR STE 205
APOLLO BEACH, FL
ZIP 33572-691
Phone: (813) 494-8643
Fax: (813) 494-8708

The provider's authorized official is Miriam Innocenti .
The authorized official title is Sole Member and has the following contact phone number (813) 494-8643.

The enumeration date for this NPI number is 1/31/2013 and was last updated on 4/5/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: