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UPSHAW TMS LLC NPI 1629560545


NPI Information

NPI: 1629560545
Provider Name: UPSHAW TMS LLC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
6511 GUNN HWY
TAMPA, FL
ZIP 33625
Phone: (813) 731-5807
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UPSHAW TMS LLC is a community behavioral health in Tampa, FL. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. UPSHAW TMS LLC NPI is 1629560545. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6511 GUNN HWY
TAMPA, FL
ZIP 33625-021
Phone: (813) 731-5807

The provider's authorized official is Tami J Brochman .
The authorized official title is Dir Of Hr, Compliance & Corp Admin and has the following contact phone number (813) 605-1122.

The enumeration date for this NPI number is 6/6/2018 and was last updated on 3/8/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0800XPsychiatry & NeurologyPsychiatryNo
2251S00000XCommunity/Behavioral HealthME96275FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ME96275OTHERFLORIDAMEDICAL LICENSE

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: 4/28/2024

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