Healthcare Provider Details

I. General information

NPI: 1205663317
Provider Name (Legal Business Name): THERAPY BY THE BAY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2024
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14710 VIA ESTRELLA PL APT 203
TAMPA FL
33626-1635
US

IV. Provider business mailing address

14710 VIA ESTRELLA PL APT 203
TAMPA FL
33626-1635
US

V. Phone/Fax

Practice location:
  • Phone: 813-616-2846
  • Fax: 813-804-3276
Mailing address:
  • Phone: 813-616-2846
  • Fax: 813-804-3276

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name: ZOE SKOWRONSKI
Title or Position: CEO
Credential: LCSW
Phone: 813-616-2846