Healthcare Provider Details

I. General information

NPI: 1770444291
Provider Name (Legal Business Name): VANNDALEY RANG B.A.S.C,, J.M., M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: VANNDALEY FOWLER B.A.S.C,, J.M., M.S.

II. Dates (important events)

Enumeration Date: 11/24/2025
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

GUIDANCE CARE CENTER, INC./WESTCARE - 1205 4TH STREET
KEY WEST FL
33040-3707
US

IV. Provider business mailing address

1205 4TH ST
KEY WEST FL
33040-3707
US

V. Phone/Fax

Practice location:
  • Phone: 305-434-7660
  • Fax:
Mailing address:
  • Phone: 305-434-7660
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: