Healthcare Provider Details

I. General information

NPI: 1588181200
Provider Name (Legal Business Name): EAR TO HEAR COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6815 W UNIVERSITY AVE
GAINESVILLE FL
32607-2221
US

IV. Provider business mailing address

6815 W UNIVERSITY AVE
GAINESVILLE FL
32607-2221
US

V. Phone/Fax

Practice location:
  • Phone: 352-363-3661
  • Fax:
Mailing address:
  • Phone: 352-363-3661
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberMH13273
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH13273
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberMH13273
License Number StateFL

VIII. Authorized Official

Name: MRS. OLUCHI OJINNAKA-TAYLOR
Title or Position: OWNER
Credential: LMHC
Phone: 352-363-3661