Healthcare Provider Details

I. General information

NPI: 1912853433
Provider Name (Legal Business Name): HLARE MENTAL HEALTH SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2026
Last Update Date: 03/06/2026
Certification Date: 03/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1797 STRATHMORE CIR
MOUNT DORA FL
32757-8809
US

IV. Provider business mailing address

1797 STRATHMORE CIR
MOUNT DORA FL
32757-8809
US

V. Phone/Fax

Practice location:
  • Phone: 407-789-6612
  • Fax:
Mailing address:
  • Phone: 407-789-6612
  • 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: CONSTANCE MURPHY
Title or Position: OWNER/MANAGING MEMBER
Credential: LCSW
Phone: 407-789-6612