Healthcare Provider Details

I. General information

NPI: 1215897939
Provider Name (Legal Business Name): SAMANTHA SCHWEIHOFER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/14/2025
Last Update Date: 11/14/2025
Certification Date: 11/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

233 NE 58TH AVE STE 103
OCALA FL
34470-3406
US

IV. Provider business mailing address

731 MARION OAKS TRL
OCALA FL
34473-1916
US

V. Phone/Fax

Practice location:
  • Phone: 352-615-0144
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberIMH28351
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: