MEDICARE: RAQUEL SYMONE HESTER-PINEL

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	101YA0400X	Addiction (Substance Use Disorder) Counselor		FL

General Provider Information

NPI Number	:	1114896289
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAQUEL SYMONE HESTER-PINEL

Provider Business Mailing Address
First Line	:	15614 MILLER CREEK DR
Second Line	:
City	:	SUN CITY CENTER
State	:	FL
Zip	:	33573-0245
Country	:	US
Telephone Number	:	334-652-5271
Fax Number	:

Provider Business Practice Location Address
First Line	:	1104 E FOWLER AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33612-5404
Country	:	US
Telephone Number	:	877-284-7074
Fax Number	:

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

Provider Enumeration Date	:	11/05/2025
Last Update Date	:	11/12/2025

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