MEDICARE: 1. ESSENTIAL COUNSELING & WELLNESS GROUP LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1033064332
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	1. ESSENTIAL COUNSELING & WELLNESS GROUP LLC

Provider Business Mailing Address
First Line	:	8807 SCENIC VISTA CT
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32818-8966
Country	:	US
Telephone Number	:	407-810-6868
Fax Number	:	321-384-3225

Provider Business Practice Location Address
First Line	:	8807 SCENIC VISTA CT
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32818-8966
Country	:	US
Telephone Number	:	407-810-6868
Fax Number	:	321-384-3225

Authorized Official
Title or Position	:	OWNER
Name	:	ERICA COLLINS
Credential	:
Telephone Number	:	407-810-6868

Provider Enumeration Date	:	03/02/2026
Last Update Date	:	03/02/2026

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