Healthcare Provider Details

I. General information

NPI: 1316988603
Provider Name (Legal Business Name): PATRICK JOSEPH WARD SS, LMFT,LMHC,SAP
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 E MAUD ST
TAVARES FL
32778-3249
US

IV. Provider business mailing address

101 E MAUD ST
TAVARES FL
32778-3249
US

V. Phone/Fax

Practice location:
  • Phone: 352-253-9348
  • Fax: 352-253-9348
Mailing address:
  • Phone: 352-253-9348
  • Fax: 352-253-9348

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberSAP
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH5422
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberMT1965
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License NumberSS690
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: