MEDICARE: WENDY MOSHOLDER-HART LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MH7409	FL

General Provider Information

NPI Number	:	1306232103
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WENDY MOSHOLDER-HART LMHC

Provider Business Mailing Address
First Line	:	5850 T G LEE BLVD STE 205
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32822-4408
Country	:	US
Telephone Number	:	407-519-0015
Fax Number	:

Provider Business Practice Location Address
First Line	:	5850 T G LEE BLVD STE 205
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32822-4408
Country	:	US
Telephone Number	:	407-519-0015
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2015
Last Update Date	:	03/20/2025

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