Healthcare Provider Details

I. General information

NPI: 1417094194
Provider Name (Legal Business Name): NANCY BELTZ LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/31/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10441 QUALITY DR STE 303
SPRING HILL FL
34609-9650
US

IV. Provider business mailing address

10441 QUALITY DR STE 303
SPRING HILL FL
34609-9650
US

V. Phone/Fax

Practice location:
  • Phone: 352-683-1842
  • Fax: 352-683-0247
Mailing address:
  • Phone: 352-683-1842
  • Fax: 352-683-0247

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH0004456
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: