Healthcare Provider Details

I. General information

NPI: 1861115875
Provider Name (Legal Business Name): CAROLINE HELLMANN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2022
Last Update Date: 07/17/2024
Certification Date: 07/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

553 SW 48TH LN
OCALA FL
34471-7423
US

IV. Provider business mailing address

553 SW 48TH LN
OCALA FL
34471-7423
US

V. Phone/Fax

Practice location:
  • Phone: 352-804-8109
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: