MEDICARE: BEA HILBRANDS LMHC, LLC

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

General Provider Information

NPI Number	:	1770344707
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEA HILBRANDS LMHC, LLC

Provider Business Mailing Address
First Line	:	2704 LITHIA PINECREST RD
Second Line	:
City	:	VALRICO
State	:	FL
Zip	:	33596-5623
Country	:	US
Telephone Number	:	813-625-9217
Fax Number	:

Provider Business Practice Location Address
First Line	:	776 W LUMSDEN RD
Second Line	:
City	:	BRANDON
State	:	FL
Zip	:	33511-8805
Country	:	US
Telephone Number	:	813-730-0819
Fax Number	:

Authorized Official
Title or Position	:	OWNER/THERAPIST
Name	:	MS. MARY BEA HILBRANDS
Credential	:	LMHC
Telephone Number	:	813-730-0819

Provider Enumeration Date	:	01/17/2024
Last Update Date	:	01/17/2024

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