Healthcare Provider Details
I. General information
NPI: 1285591685
Provider Name (Legal Business Name): ESSENCE COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/07/2026
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
238 N MASSACHUSETTS AVE STE G-19
LAKELAND FL
33801-4987
US
IV. Provider business mailing address
238 N MASSACHUSETTS AVE STE G-19
LAKELAND FL
33801-4987
US
V. Phone/Fax
- Phone: 863-670-4333
- Fax:
- Phone: 863-670-4333
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101Y00000X |
| Taxonomy | Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
QUINTON
CLAWSON
Title or Position: OWNER & COUNSELOR
Credential: LMHC, QS
Phone: 863-670-4333