MEDICARE: WILLIAM CAIGE MCAULIFFE LMHC

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	MH22951	FL

General Provider Information

NPI Number	:	1033675202
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM CAIGE MCAULIFFE LMHC

Provider Business Mailing Address
First Line	:	325 CALIZA CIR APT 8208
Second Line	:
City	:	SAINT AUGUSTINE
State	:	FL
Zip	:	32084-1071
Country	:	US
Telephone Number	:	904-417-8078
Fax Number	:

Provider Business Practice Location Address
First Line	:	325 CALIZA CIR APT 8208
Second Line	:
City	:	SAINT AUGUSTINE
State	:	FL
Zip	:	32084-1071
Country	:	US
Telephone Number	:	904-417-8078
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2019
Last Update Date	:	12/15/2023

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