Healthcare Provider Details

I. General information

NPI: 1356270763
Provider Name (Legal Business Name): LAURA ANN ESLER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8518 JAMESTOWN DR
WINTER HAVEN FL
33884-4835
US

IV. Provider business mailing address

8518 JAMESTOWN DR
WINTER HAVEN FL
33884-4835
US

V. Phone/Fax

Practice location:
  • Phone: 863-288-0781
  • Fax:
Mailing address:
  • Phone: 239-298-6721
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberIMT4549
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: