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

Tiny Rebellion LLC

Organization Mental Health Counselor · NPI 1619893377

Tiny Rebellion LLC is a Mental Health Counselor 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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