SUPPORT THERAPY GROUP LLC NPI 1578282059

NPI Information

  • NPI: 1578282059
  • Provider Name: SUPPORT THERAPY GROUP LLC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 3240 AIRFIELD DR E STE 202
    SUITE 202
    LAKELAND, FL
    ZIP 33811
  • Phone: (646) 966-2583

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NPI Details

SUPPORT THERAPY GROUP LLC is a clinic center in Lakeland, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). SUPPORT THERAPY GROUP LLC NPI is 1578282059. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3240 AIRFIELD DR E STE 202
SUITE 202
LAKELAND, FL
ZIP 33811-247
Phone: (646) 966-2583
Fax: (407) 386-6505

The provider's authorized official is Ismery D Morales Martinez .
The authorized official title is Manager and has the following contact phone number (407) 486-3297.

The enumeration date for this NPI number is 8/26/2022 and was last updated on 9/9/2025.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103K00000XBehavior AnalystNo
2261QH0700XClinic/CenterHearing and SpeechNo
3261Q00000XClinic/CenterYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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