Healthcare Provider Details

I. General information

NPI: 1801450515
Provider Name (Legal Business Name): INSPIRATIONAL CARE COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2019
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12630 BRAMFIELD DR
RIVERVIEW FL
33579-7774
US

IV. Provider business mailing address

12630 BRAMFIELD DR
RIVERVIEW FL
33579-7774
US

V. Phone/Fax

Practice location:
  • Phone: 813-373-2205
  • Fax:
Mailing address:
  • Phone: 813-373-2205
  • Fax: 888-863-6460

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KATHRYN ANN DITTMANN
Title or Position: OWNER
Credential: LMHC
Phone: 813-373-2205