Healthcare Provider Details

I. General information

NPI: 1932056686
Provider Name (Legal Business Name): VITA BELLA THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2026
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2616 EAGLE CREST CT
HOLIDAY FL
34691-7805
US

IV. Provider business mailing address

2616 EAGLE CREST CT
HOLIDAY FL
34691-7805
US

V. Phone/Fax

Practice location:
  • Phone: 813-701-9692
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: KATHRYN CLAIRE HOCHLEUTNER
Title or Position: OWNER
Credential: LCPC, LMHC
Phone: 813-701-9692