Healthcare Provider Details

I. General information

NPI: 1922823145
Provider Name (Legal Business Name): SEASONS OF WELLNESS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2024
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8245 COUNTY ROAD 44 LEG A STE 2
LEESBURG FL
34788-3751
US

IV. Provider business mailing address

26619 W COVE DR
TAVARES FL
32778-9711
US

V. Phone/Fax

Practice location:
  • Phone: 352-763-3877
  • Fax: 352-329-4378
Mailing address:
  • Phone: 606-260-9836
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JUNE CRAFT
Title or Position: OWNER
Credential: APRN
Phone: 606-260-9836