Healthcare Provider Details

I. General information

NPI: 1114792884
Provider Name (Legal Business Name): ESPLIN COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2023
Last Update Date: 02/28/2025
Certification Date: 02/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2824 WINDGUARD CIR STE 102
WESLEY CHAPEL FL
33544-7369
US

IV. Provider business mailing address

29754 CHAPEL CHASE DR
WESLEY CHAPEL FL
33545-3016
US

V. Phone/Fax

Practice location:
  • Phone: 801-210-1184
  • Fax:
Mailing address:
  • Phone: 435-215-5991
  • Fax:

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: MRS. MCKENZIE ESPLIN
Title or Position: OWNER/THERAPIST
Credential: LCSW
Phone: 435-215-5991