<Unavail>

LBN: Guardian Haven Academy
<Unavail> is an health care organization with primary practice located at 5806 Breckenridge Pkwy Ste B , Tampa FL 33610-4211. The organization recently has 7 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Developmental Disabilities, Ambulatory Health Care Facilities / Hearing and Speech, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Physical Therapy, Ambulatory Health Care Facilities / Occupational Medicine. Agencies / Day Training, Developmentally Disabled Services is the primary health care specialty. Guardian Haven Academy can be contacted via phone (813) 400-2117, or through Varlack, Nakisha Lavell via phone (813) 400-2117.

Contact Information

Primary practice address
5806 Breckenridge Pkwy Ste B Tampa FL 33610-4211
Phone: (813) 400-2117
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Varlack, Nakisha Lavell
Phone: (813) 400-2117

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X
Ambulatory Health Care Facilities / Hearing and Speech 261QH0700X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X
Ambulatory Health Care Facilities / Occupational Medicine 261QX0100X

Profile Details

NPI number 1871087080
LBN Legal business name Guardian Haven Academy
DBA Doing business as <Unavail>
Authorized official Varlack, Nakisha Lavell
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2018
Last updated Mar 5th, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871087080 NPPES
Florida MEDICAID 100069300

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