Provider Demographics
NPI:1316816077
Name:MILKELIS MARTINEZ WALKER, LCSW LLC DBA LIVE TO THRIVE THERAPY
Entity type:Organization
Organization Name:MILKELIS MARTINEZ WALKER, LCSW LLC DBA LIVE TO THRIVE THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MILKELIS
Authorized Official - Middle Name:
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:813-699-9380
Mailing Address - Street 1:14103 CHERRY ORCHARD RUN
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33618-2215
Mailing Address - Country:US
Mailing Address - Phone:813-699-9380
Mailing Address - Fax:
Practice Address - Street 1:4339 GUNN HWY
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33618-8729
Practice Address - Country:US
Practice Address - Phone:813-699-9380
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-31
Last Update Date:2025-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)