Healthcare Provider Details

I. General information

NPI: 1962371310
Provider Name (Legal Business Name): MY JOURNEY COMPASS HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2025
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7901 4TH ST N # 8419
ST PETERSBURG FL
33702-4305
US

IV. Provider business mailing address

7901 4TH ST N # 8419
ST PETERSBURG FL
33702-4305
US

V. Phone/Fax

Practice location:
  • Phone: 863-334-9037
  • Fax: 800-317-0709
Mailing address:
  • Phone: 863-334-9037
  • Fax: 800-317-0709

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: LEONARDA M GAIGE
Title or Position: OWNER
Credential: PMHNNP-BC, FNP-BC
Phone: 863-334-9037