Healthcare Provider Details

I. General information

NPI: 1326141490
Provider Name (Legal Business Name): PATRICIA A. DREW, M.S., LMHC, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5465 COMMERCIAL WAY
SPRING HILL FL
34606-1110
US

IV. Provider business mailing address

7415 MORELLI AVE
BROOKSVILLE FL
34613-5753
US

V. Phone/Fax

Practice location:
  • Phone: 352-597-5497
  • Fax: 352-597-1662
Mailing address:
  • Phone: 352-428-8924
  • Fax: 352-597-1662

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH004290
License Number StateFL

VIII. Authorized Official

Name: MS. PATRICIA A DREW
Title or Position: LMHC
Credential: M.S., LMHC
Phone: 352-428-8924