Healthcare Provider Details

I. General information

NPI: 1326667452
Provider Name (Legal Business Name): CLEMENTE COUNSELING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2020
Last Update Date: 04/09/2020
Certification Date: 04/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4090 DELTONA BLVD
SPRING HILL FL
34606-2203
US

IV. Provider business mailing address

7850 STONELEIGH DR
LAND O LAKES FL
34637-7615
US

V. Phone/Fax

Practice location:
  • Phone: 352-848-4642
  • Fax:
Mailing address:
  • Phone: 352-848-4642
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: HELEN CLEMENTE
Title or Position: LMHC
Credential:
Phone: 352-848-4642