Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Tiny Rebellion LLC

Organization Mental Health Counselor · NPI 1619893377

Tiny Rebellion LLC provides Mental Health Counselor services in Pinellas Park, Florida. Registered with an NPI since 2026.

In the registry since
2026
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

7205 64th Way N
Pinellas Park, FL 33781-4027
Phone: (970) 784-0255
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1619893377
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mike Johnson — Manager · (970) 784-0255
NPI enumeratedJune 26, 2026
Last updated in NPPESJune 26, 2026
Certification dateJune 26, 2026
Mailing address7205 64th Way N, Pinellas Park, FL 33781-4027

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