Healthcare Provider Details
I. General information
NPI: 1619880192
Provider Name (Legal Business Name): NOEL'S HOLISTIC CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/24/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3008 PINENUT DR
APOPKA FL
32712-2719
US
IV. Provider business mailing address
1317 EDGEWATER DR # 908
ORLANDO FL
32804-6350
US
V. Phone/Fax
- Phone: 689-340-0200
- Fax: 561-486-7489
- Phone: 689-340-0200
- Fax: 561-486-7489
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0855X |
| Taxonomy | Adolescent and Children Mental Health Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QP2300X |
| Taxonomy | Primary Care Clinic/Center |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ESTHERLINE
EXUME-NOEL
Title or Position: PROVIDER
Credential: DNP, ARNP
Phone: 561-685-5012