Healthcare Provider Details

I. General information

NPI: 1801353834
Provider Name (Legal Business Name): BRIAN KRAUSE LMHC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/26/2019
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1516 HILLCREST ST STE 201
ORLANDO FL
32803-4715
US

IV. Provider business mailing address

430 N MILLS AVE STE 4
ORLANDO FL
32803-5746
US

V. Phone/Fax

Practice location:
  • Phone: 407-205-9761
  • Fax:
Mailing address:
  • Phone: 407-423-0790
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberMH16664
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: