Healthcare Provider Details

I. General information

NPI: 1265018162
Provider Name (Legal Business Name): HEALING PSYCHIATRY OF FLORIDA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2021
Last Update Date: 07/01/2025
Certification Date: 07/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 W CITRUS ST
ALTAMONTE SPRINGS FL
32714-2502
US

IV. Provider business mailing address

108 W CITRUS ST
ALTAMONTE SPRINGS FL
32714-2502
US

V. Phone/Fax

Practice location:
  • Phone: 386-383-3339
  • Fax: 321-234-0252
Mailing address:
  • Phone: 386-383-3339
  • Fax: 321-234-0252

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: ANASTASIYA UHLENHOPP
Title or Position: PRESIDENT/OFFICER
Credential: ARNP, PMHNP
Phone: 321-972-9215