Healthcare Provider Details

I. General information

NPI: 1063349132
Provider Name (Legal Business Name): ASSUAGE COUNSELING AND CONSULTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2403 SE 17TH ST STE 201
OCALA FL
34471-9103
US

IV. Provider business mailing address

2403 SE 17TH ST STE 201
OCALA FL
34471-9103
US

V. Phone/Fax

Practice location:
  • Phone: 321-421-9922
  • Fax:
Mailing address:
  • Phone: 321-421-9922
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: CONSUELLA SHAW
Title or Position: CEO/FOUNDER
Credential: LMHC
Phone: 321-421-9922