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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

TINY REBELLION LLC
NPI 1619893377
Counselor - Mental Health in Pinellas Park, FL

Active since June 26, 2026
7205 64TH WAY N, PINELLAS PARK, FL 33781(970) 784-0255 Get Directions Write a Review

NPPES record added: June 26, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tiny Rebellion Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TINY REBELLION LLC (NPI 1619893377) is a healthcare organization registered as a mental health in Pinellas Park, Florida and active in the NPI registry since June 2026. The organization lists Mike Johnson, Manager, as its authorized official.

NPPES Registry Identity

NPI1619893377
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameTINY REBELLION LLC
Location Address7205 64TH WAY NPinellas Park, FL 33781-4027
Mailing Address7205 64th Way NPinellas Park, FL 33781-4027
Phone(970) 784-0255
Organization SubpartNo
Authorized OfficialMike JohnsonManager · (970) 784-0255
Enumeration DateJune 26, 2026
NPPES CertifiedJune 26, 2026
✔ NPI 1619893377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
7205 64TH WAY N, Pinellas Park, FL 33781
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tiny Rebellion LLC's NPI number?

The NPI number for Tiny Rebellion LLC is 1619893377. It was assigned to this organization in the NPPES registry on June 26, 2026.

Where is Tiny Rebellion LLC located?

Tiny Rebellion LLC is located at 7205 64th Way N, Pinellas Park, FL 33781. The listed phone number is (970) 784-0255.

What is Tiny Rebellion LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Tiny Rebellion LLC was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 54 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.