Healthcare Provider Details
I. General information
NPI: 1568306421
Provider Name (Legal Business Name): TAMPA AND REHABILITATION, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/19/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1000 N ASHLEY DR STE 512
TAMPA FL
33602-3717
US
IV. Provider business mailing address
1000 N ASHLEY DR STE 512
TAMPA FL
33602-3717
US
V. Phone/Fax
- Phone: 813-506-4600
- Fax: 813-448-2999
- Phone: 813-506-4600
- Fax: 813-448-2999
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225C00000X |
| Taxonomy | Rehabilitation Counselor |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
KIMBERLEY
ELAINE
MAY
Title or Position: OWNER
Credential: LMHC, MCAP, ICADC,
Phone: 813-506-4600