NPI Code Details Logo

NPI 1205658739

NPI 1205658739 : AND THEN THERE IS YOU MENTAL HEALTH GROUP PLLC : ORMOND BEACH, FL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1205658739
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    AND THEN THERE IS YOU MENTAL HEALTH GROUP PLLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/28/2024
-----------------------------------------------------
    Last Update Date     |    12/31/2024
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    140 S ATLANTIC AVE STE 402 
-----------------------------------------------------
    City                 |    ORMOND BEACH
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    32176-6653
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    386-999-4343
-----------------------------------------------------
    Fax                  |    603-386-6002
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    140 S ATLANTIC AVE STE 301 
-----------------------------------------------------
    City                 |    ORMOND BEACH
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    32176-6653
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    386-999-4343
-----------------------------------------------------
    Fax                  |    603-386-6002
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     SARAH  BAUER 
-----------------------------------------------------
    Credential           |    LMFT
-----------------------------------------------------
    Telephone            |    732-275-7118
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    101YM0800X
-----------------------------------------------------
    Taxonomy Name        |    Mental Health Counselor
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    1041C0700X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Social Worker
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    133V00000X
-----------------------------------------------------
    Taxonomy Name        |    Registered Dietitian
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    2084P0804X
-----------------------------------------------------
    Taxonomy Name        |    Child & Adolescent Psychiatry Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    363LP0808X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #6
-----------------------------------------------------
    Taxonomy Code        |    106H00000X
-----------------------------------------------------
    Taxonomy Name        |    Marriage & Family Therapist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.