CENTRAL FLORIDA PSYCHOTHERAPY SERVICES LLC
NPI 1689286809
Social Worker - Clinical in Lakeland, FL

Active since August 19, 2020
5302 S FLORIDA AVE STE 200, LAKELAND, FL 33813(853) 602-7001(863) 583-8585 Get Directions Write a Review

NPPES record last updated: August 19, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Central Florida Psychotherapy Services Llc NPPES

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

CENTRAL FLORIDA PSYCHOTHERAPY SERVICES LLC (NPI 1689286809), doing business as Psychotherapy Services Of Newlight, is a healthcare organization registered as a clinical in Lakeland, Florida and active in the NPI registry since August 2020. The organization lists Jomon Thekkethottiyil, Owner, as its authorized official.

NPPES Registry Identity

NPI1689286809
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameCENTRAL FLORIDA PSYCHOTHERAPY SERVICES LLC
Location Address5302 S FLORIDA AVE STE 200Lakeland, FL 33813-4922
Mailing Address5302 S Florida Ave Ste 203Lakeland, FL 33813-4910 · (863) 602-7001 · Fax (863) 583-8585
Fax(863) 583-8585
Organization SubpartNo
Authorized OfficialJomon ThekkethottiyilOwner · (330) 416-3867
Enumeration DateAugust 19, 2020
NPPES CertifiedAugust 19, 2020
NPI 1689286809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

5302 S FLORIDA AVE STE 200, Lakeland, FL 33813

Other Names 1

Doing Business AsPsychotherapy Services Of Newlight

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689286809, enumerated as an "organization" on August 19, 2020.

The provider is located at 5302 S FLORIDA AVE STE 200 LAKELAND, FL 33813 and the phone number is (853) 602-7001.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.