Healthcare Provider Details

I. General information

NPI: 1154200822
Provider Name (Legal Business Name): TAMPA BAY RELATIONSHIP RECOVERY CENTER LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2025
Last Update Date: 08/28/2025
Certification Date: 08/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 W SLIGH AVE
TAMPA FL
33604-5803
US

IV. Provider business mailing address

1501 W SLIGH AVE
TAMPA FL
33604-5803
US

V. Phone/Fax

Practice location:
  • Phone: 813-380-5976
  • Fax:
Mailing address:
  • Phone: 813-380-5976
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: DENNIS DANIEL DELVECCHIO
Title or Position: CLINICAL DIRECTOR
Credential: MH
Phone: 813-380-5976