Healthcare Provider Details

I. General information

NPI: 1306771035
Provider Name (Legal Business Name): RACHEL CROSS MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20747 STERLINGTON DR
LAND O LAKES FL
34638-4317
US

IV. Provider business mailing address

20747 STERLINGTON DR
LAND O LAKES FL
34638-4317
US

V. Phone/Fax

Practice location:
  • Phone: 813-907-9191
  • Fax:
Mailing address:
  • Phone: 813-699-9211
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: