Healthcare Provider Details

I. General information

NPI: 1538460910
Provider Name (Legal Business Name): PATRICIA LYNN NORMILE PCC, LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PATRICIA LYNN NORMILE PCC

II. Dates (important events)

Enumeration Date: 11/16/2010
Last Update Date: 06/02/2025
Certification Date: 06/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

379 6TH AVE W
BRADENTON FL
34205-8820
US

IV. Provider business mailing address

PO BOX 197515
NASHVILLE TN
37219-7515
US

V. Phone/Fax

Practice location:
  • Phone: 941-782-4150
  • Fax: 941-782-4104
Mailing address:
  • Phone: 941-337-2580
  • Fax: 941-782-4301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberE0700099
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH14511
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: