Healthcare Provider Details

I. General information

NPI: 1043120918
Provider Name (Legal Business Name): WITHIN ARMS REACH COUNSELING & PSYCHIATRY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10810 BOYETTE RD # 2563
RIVERVIEW FL
33569-8000
US

IV. Provider business mailing address

10810 BOYETTE RD # 2563
RIVERVIEW FL
33569-8000
US

V. Phone/Fax

Practice location:
  • Phone: 813-803-5950
  • Fax: 833-233-3084
Mailing address:
  • Phone: 813-803-5950
  • Fax: 833-233-3084

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MR. CHEMAL YSIDRO CRUZ
Title or Position: OWNER / LIC MENTAL HEALTH COUNSELOR
Credential: LMHC, NCC, CCTP,C.HT
Phone: 813-803-5950