Healthcare Provider Details

I. General information

NPI: 1225654031
Provider Name (Legal Business Name): THERAPEUTIC SERENDIPITY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2020
Last Update Date: 10/31/2024
Certification Date: 10/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10485 HELEY ST
SPRING HILL FL
34608-3729
US

IV. Provider business mailing address

10485 HELEY ST
SPRING HILL FL
34608-3729
US

V. Phone/Fax

Practice location:
  • Phone: 727-456-9919
  • Fax:
Mailing address:
  • Phone: 727-456-9919
  • Fax: 352-681-4438

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: HEATHER S HOLOP
Title or Position: OWNER
Credential: LCSW
Phone: 727-456-9919