Healthcare Provider Details

I. General information

NPI: 1497691588
Provider Name (Legal Business Name): CENTERPOINT COUNSELING AND WELLNESS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7619 BLUE SPRING DR
LAND O LAKES FL
34637-7489
US

IV. Provider business mailing address

7619 BLUE SPRING DR
LAND O LAKES FL
34637-7489
US

V. Phone/Fax

Practice location:
  • Phone: 656-233-7296
  • Fax:
Mailing address:
  • Phone: 656-233-7296
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MR. C MICHAEL HICKS
Title or Position: OWNER
Credential: LCSW, MCAP, MPH
Phone: 656-233-7296