Healthcare Provider Details

I. General information

NPI: 1407632029
Provider Name (Legal Business Name): ANGELA HOLMES-CRUZ LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2023
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2415 UNIVERSITY PKWY STE 219
SARASOTA FL
34243-2809
US

IV. Provider business mailing address

12144 US HIGHWAY 301 N APT 310
PARRISH FL
34219-9998
US

V. Phone/Fax

Practice location:
  • Phone: 941-254-3235
  • Fax:
Mailing address:
  • Phone: 813-802-1226
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: