MEDICARE: SELF-FLOURISH, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1932058526
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SELF-FLOURISH, LLC

Provider Business Mailing Address
First Line	:	1971 W LUMSDEN RD # 145
Second Line	:
City	:	BRANDON
State	:	FL
Zip	:	33511-8820
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1827 GRAND ISLE DR.
Second Line	:
City	:	BRANDON
State	:	FL
Zip	:	33511-8820
Country	:	US
Telephone Number	:	813-360-1077
Fax Number	:

Authorized Official
Title or Position	:	OWNER & CLINICIAN
Name	:	SHANTIKA DYKES
Credential	:	LMHC
Telephone Number	:	813-360-1077

Provider Enumeration Date	:	01/26/2026
Last Update Date	:	01/26/2026

Similar Medicare Providers

1104601582 — SHANTIKA DYKES LMHC
Practice Location Address:

1971 W LUMSDEN RD # 145
BRANDON, FL
33511-8820

Practice Phone: 813-841-7629
Practice Fax:

1114419264 — BRITON WILLIAM NEALEY RDMS, RDCS, RVT
Practice Location Address:

1971 W LUMSDEN RD STE 106
BRANDON, FL
33511-8820

Practice Phone: 813-549-7820
Practice Fax: 813-549-7823

1598833543 — DR. WAYNE C LEE MD
Practice Location Address:

1020 E BRANDON BLVD STE 101
BRANDON, FL
33511

Practice Phone: 813-579-3369
Practice Fax: 866-202-3227

1710269097 — WAYNE LEE MD PLASTIC SURGERY PLLC
Practice Location Address:

1020 E BRANDON BLVD STE 101
BRANDON, FL
33511-5560

Practice Phone: 813-579-3369
Practice Fax:

1023738044 — LITHIA PINECREST SMILES PA
Practice Location Address:

716 S OAKWOOD AVE
BRANDON, FL
33511-6124

Practice Phone: 813-285-4084
Practice Fax: 813-285-4951

1356838791 — ARIEL NICOLE BRACEY
Practice Location Address:

1612 DOGWOOD FLOWER LN APT 102
RUSKIN, FL
33573-6883

Practice Phone: 813-812-9568
Practice Fax:

Directions to “SELF-FLOURISH, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.