Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

My Televisit MD LLC

Organization Mental Health Counselor · NPI 1174374011

My Televisit MD LLC is a Mental Health Counselor in Clearwater, Florida. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
10
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5560 Roosevelt Blvd Ste 4 #50
Clearwater, FL 33760
Phone: (727) 415-2308
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Mental Health Counselor Taxonomy 101YM0800X
Nutrition Education Nutritionist Taxonomy 133NN1002X
Home Health Registered Nurse Taxonomy 163WH0200X
Public Health & General Preventive Medicine Physician Taxonomy 2083P0901X
General Practice Physician Taxonomy 208D00000X
Clinic/Center Taxonomy 261Q00000X
Recovery Care Clinic/Center Taxonomy 261QR0800X
Rural Health Clinic/Center Taxonomy 261QR1300X
Home Health Aide Taxonomy 374U00000X

Record details

NPI number1174374011
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Bagby — Ceo/Ambr · (727) 415-2308
NPI enumeratedMarch 28, 2024
Last updated in NPPESMarch 28, 2024
Certification dateMarch 28, 2024
Mailing address5560 Roosevelt Boulevard, Suite 4 #50, Clearwater, FL 33760-9228

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