Healthcare Provider Details

I. General information

NPI: 1871471219
Provider Name (Legal Business Name): PAWS-A-WHILE COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2025
Last Update Date: 08/25/2025
Certification Date: 08/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7683 DEER FOOT DR
NEW PRT RCHY FL
34653-5004
US

IV. Provider business mailing address

7683 DEER FOOT DR
NEW PRT RCHY FL
34653-5004
US

V. Phone/Fax

Practice location:
  • Phone: 727-275-0532
  • Fax:
Mailing address:
  • Phone: 727-275-0532
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. JONATHAN PAWSON
Title or Position: MENTAL HEALTH COUNSELOR
Credential: LMHC
Phone: 727-275-0532