Healthcare Provider Details

I. General information

NPI: 1730237140
Provider Name (Legal Business Name): NANCY A. MAKAR
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 09/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1265 KASS CIR
SPRING HILL FL
34606-4308
US

IV. Provider business mailing address

1231 ETTA AVENUE
SPRING HILL FL
34609
US

V. Phone/Fax

Practice location:
  • Phone: 352-686-3188
  • Fax: 352-686-9394
Mailing address:
  • Phone: 352-279-3038
  • Fax: 352-686-9394

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: MS. NANCY A MAKAR
Title or Position: OWNER
Credential: LCSW
Phone: 352-686-3188