Organization
TAMPA BAY MENTAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAIN SANTOS PEREZ (OWNER)
(813) 269-2920
Entity
Organization
Contact information
Practice address
3105 W WATERS AVE STE 102, TAMPA, FL 33614-2869
(813) 269-2920
(813) 269-2921
Mailing address
3105 W WATERS AVE STE 102, TAMPA, FL 33614-2869
(813) 269-2920
(813) 269-2921
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109622100
—
FL
05
—
109622101
—
FL
Enumeration date
02/19/2021
Last updated
11/05/2025
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