Healthcare Provider Details

I. General information

NPI: 1437049251
Provider Name (Legal Business Name): BETSI ANISLEY CINTRA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2025
Last Update Date: 07/03/2025
Certification Date: 07/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11418 JANET AVE
SPRING HILL FL
34608-3106
US

IV. Provider business mailing address

11418 JANET AVE
SPRING HILL FL
34608-3106
US

V. Phone/Fax

Practice location:
  • Phone: 305-842-8603
  • Fax:
Mailing address:
  • Phone: 305-842-8603
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number25993
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: