# TAMPA BAY MENTAL HEALTH, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710570734
- **Authorized official:** ALAIN SANTOS PEREZ (OWNER)
- **Authorized official phone:** (813) 269-2920

## Contact information

- **Practice address:** 3105 W WATERS AVE STE 102, TAMPA, FL 33614-2869
- **Practice address phone:** (813) 269-2920
- **Practice address fax:** (813) 269-2921
- **Mailing address:** 3105 W WATERS AVE STE 102, TAMPA, FL 33614-2869
- **Mailing address phone:** (813) 269-2920
- **Mailing address fax:** (813) 269-2921

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | — | NULL | — |
| 103K00000X | Behavior Analyst | — | — | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/19/2021
- **Last updated:** 11/05/2025