Healthcare Provider Details

I. General information

NPI: 1285956532
Provider Name (Legal Business Name): CLARISSA STAR CRYSTAL-BELLE LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/26/2010
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2601 STIRLING CIR UNIT 207
DUNEDIN FL
34698-7068
US

IV. Provider business mailing address

2601 STIRLING CIR UNIT 207
DUNEDIN FL
34698-7068
US

V. Phone/Fax

Practice location:
  • Phone: 561-294-4776
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH4423
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: