Healthcare Provider Details

I. General information

NPI: 1053813006
Provider Name (Legal Business Name): TRUSTED CONNECTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2018
Last Update Date: 06/17/2023
Certification Date: 06/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3005 LITHIA PINECREST RD
VALRICO FL
33596-5630
US

IV. Provider business mailing address

19046 BRUCE B DOWNS BLVD # 1190
TAMPA FL
33647-2434
US

V. Phone/Fax

Practice location:
  • Phone: 786-903-1722
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code177F00000X
TaxonomyLodging Provider
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: KA'DIRA CAREY
Title or Position: OWNER
Credential: LCSW
Phone: 786-903-1722