Healthcare Provider Details

I. General information

NPI: 1235051731
Provider Name (Legal Business Name): CARE MENTAL HEALTHCARE ON DEMAND LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

238 E DAVIS BLVD
TAMPA FL
33606-3792
US

IV. Provider business mailing address

633 BOSPHOROUS AVE
TAMPA FL
33606-3915
US

V. Phone/Fax

Practice location:
  • Phone: 813-473-6166
  • Fax:
Mailing address:
  • Phone: 803-473-6166
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: SONYA GELINAS
Title or Position: MEMBER
Credential: LICSW
Phone: 603-369-7122