Healthcare Provider Details

I. General information

NPI: 1780336545
Provider Name (Legal Business Name): SPRING HILL MULTI-CULTURAL COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2022
Last Update Date: 12/14/2022
Certification Date: 12/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1419 KASS CIR
SPRING HILL FL
34606-4312
US

IV. Provider business mailing address

1419 KASS CIR REAR OFFICE
SPRING HILL FL
34606-4312
US

V. Phone/Fax

Practice location:
  • Phone: 352-269-5598
  • Fax:
Mailing address:
  • Phone: 352-269-5598
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: WANDALIZ MARRERO
Title or Position: LICENSED MENTAL HEALTH COUNSELOR
Credential: LMHC
Phone: 352-269-5598