Healthcare Provider Details

I. General information

NPI: 1801148648
Provider Name (Legal Business Name): HUTCHINGS FAMILY COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2012
Last Update Date: 10/03/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3586 ALOMA AVE STE 11
WINTER PARK FL
32792-4010
US

IV. Provider business mailing address

3586 ALOMA AVE STE 11
WINTER PARK FL
32792-4010
US

V. Phone/Fax

Practice location:
  • Phone: 407-900-3218
  • Fax:
Mailing address:
  • Phone: 407-900-3218
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH9687
License Number StateFL

VIII. Authorized Official

Name: MR. BEN HUTCHINGS
Title or Position: CHAIR
Credential: LMHC
Phone: 407-900-3218