Healthcare Provider Details

I. General information

NPI: 1437087301
Provider Name (Legal Business Name): TRANSFORMING MINDS TOGETHER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

710 OAKFIELD DR STE 221
BRANDON FL
33511-4924
US

IV. Provider business mailing address

5034 POND RIDGE DR
RIVERVIEW FL
33578-2107
US

V. Phone/Fax

Practice location:
  • Phone: 813-308-9310
  • Fax:
Mailing address:
  • Phone: 813-422-8421
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: CELESS JOHNSON
Title or Position: LICENSED MENTAL HEALTH COUNSELOR
Credential: LMHC
Phone: 813-422-8421