Healthcare Provider Details

I. General information

NPI: 1023953312
Provider Name (Legal Business Name): EATON COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

817 NW 106TH ST
GAINESVILLE FL
32606-8081
US

IV. Provider business mailing address

6241 N FLORIDA AVE STE D1356
TAMPA FL
33604-6625
US

V. Phone/Fax

Practice location:
  • Phone: 813-515-9922
  • Fax:
Mailing address:
  • Phone: 813-515-9922
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: DANIELLE EATON
Title or Position: MENTAL HEALTH COUNSELOR
Credential: LMHC, LPC, LCMHC
Phone: 813-515-9922