Healthcare Provider Details
I. General information
NPI: 1407700370
Provider Name (Legal Business Name): UNBLOCKED THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/25/2026
Last Update Date: 02/25/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
625 E TWIGGS ST
TAMPA FL
33602-3910
US
IV. Provider business mailing address
633 BOSPHOROUS AVE
TAMPA FL
33606-3915
US
V. Phone/Fax
- Phone: 603-270-9181
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SONYA
GELINAS
Title or Position: OWNER
Credential: LICSW
Phone: 603-270-9181