Healthcare Provider Details

I. General information

NPI: 1730474081
Provider Name (Legal Business Name): BRYAN TRUELOVE LMHC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2011
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

187 S BOYD ST
WINTER GARDEN FL
34787-3501
US

IV. Provider business mailing address

3350 CURRENT AVE
WINTER GARDEN FL
34787-9084
US

V. Phone/Fax

Practice location:
  • Phone: 321-392-3390
  • Fax:
Mailing address:
  • Phone: 321-356-0771
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH10785
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: