TELLYCARES, LLC
NPI 1811775364
Community/Behavioral Health in Palm Bay, FL

Active since September 18, 2023
2350 COGAN DR SE, PALM BAY, FL 32909(754) 368-4073 Get Directions Write a Review

NPPES record last updated: September 18, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Community/Behavioral Health

About TELLYCARES, LLC

This page provides the complete NPI Profile along with additional information for Tellycares, Llc, a provider established in Palm Bay, Florida operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1811775364 assigned on September 2023. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Shontell Williams (Owner)

NPI
1811775364 Verify this NPI
Provider Name
TELLYCARES, LLC
Entity Type
Organization
Location Address
2350 COGAN DR SE PALM BAY, FL 32909
Location Phone
(754) 368-4073
Mailing Address
8520 N SHERMAN CIR UNIT B-506 MIRAMAR, FL 33025
Mailing Phone
(754) 368-4073
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-18-2023
Last Update Date
09-18-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251B00000XAgencies

Case Management

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SHONTELL WILLIAMS

Authorized Official Title
OWNER
Authorized Official Phone
(754) 368-4073

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811775364, enumerated as an "organization" on September 18, 2023.

The provider is located at 2350 COGAN DR SE PALM BAY, FL 32909 and the phone number is (754) 368-4073.

Community/Behavioral Health with taxonomy code 251S00000X.