Healthcare Provider Details

I. General information

NPI: 1730089350
Provider Name (Legal Business Name): CROMOTEE BEHAVIORAL HEALTH GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2026
Last Update Date: 11/07/2026
Certification Date: 11/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

828 KAZAROS CIR
OCOEE FL
34761-3168
US

IV. Provider business mailing address

828 KAZAROS CIR
OCOEE FL
34761-3168
US

V. Phone/Fax

Practice location:
  • Phone: 850-778-1248
  • Fax:
Mailing address:
  • Phone: 850-778-1248
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: LASHAUNDRA CROMOTEE
Title or Position: CEO
Credential: LMHC
Phone: 850-778-1248