Healthcare Provider Details

I. General information

NPI: 1891335188
Provider Name (Legal Business Name): ATALA COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/14/2020
Last Update Date: 08/30/2024
Certification Date: 08/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

905 S MISSOURI AVE
LAKELAND FL
33803-1033
US

IV. Provider business mailing address

905 S MISSOURI AVE
LAKELAND FL
33803-1033
US

V. Phone/Fax

Practice location:
  • Phone: 863-450-3626
  • Fax: 863-274-2237
Mailing address:
  • Phone: 863-450-3626
  • Fax: 863-274-2237

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ARACELI GAUNA-SCATTOLINI
Title or Position: OWNER
Credential: LMHC
Phone: 863-450-3626