Healthcare Provider Details

I. General information

NPI: 1992636229
Provider Name (Legal Business Name): THE HEALING NOOK COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13013 LIBERTY SQUARE DR
ORLANDO FL
32828-4864
US

IV. Provider business mailing address

13013 LIBERTY SQUARE DR
ORLANDO FL
32828-4864
US

V. Phone/Fax

Practice location:
  • Phone: 772-353-8219
  • Fax:
Mailing address:
  • Phone: 772-353-8219
  • 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: ALEXANDRA WHITE-PULIDO
Title or Position: OWNER, MENTAL HEALTH COUNSELOR
Credential:
Phone: 772-353-8219