Healthcare Provider Details
I. General information
NPI: 1902665664
Provider Name (Legal Business Name): ALL WAYS MENTAL HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/15/2024
Last Update Date: 03/15/2024
Certification Date: 03/15/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
708 NE 6TH ST
CRYSTAL RIVER FL
34428-3704
US
IV. Provider business mailing address
4160 NE 4TH TER
OCALA FL
34479-2312
US
V. Phone/Fax
- Phone: 352-228-4969
- Fax: 352-228-8901
- Phone: 352-216-7059
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CYNTHIA
A
NUCE
Title or Position: OWNER
Credential: LCSW
Phone: 352-216-7059