MEDICARE: ANGELA HOLMES-CRUZ 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		FL

General Provider Information

NPI Number	:	1407632029
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA HOLMES-CRUZ LMHC

Provider Business Mailing Address
First Line	:	12144 US HIGHWAY 301 N APT 310
Second Line	:
City	:	PARRISH
State	:	FL
Zip	:	34219-9998
Country	:	US
Telephone Number	:	813-802-1226
Fax Number	:

Provider Business Practice Location Address
First Line	:	2415 UNIVERSITY PKWY STE 219
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34243-2809
Country	:	US
Telephone Number	:	941-254-3235
Fax Number	:

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

Provider Enumeration Date	:	09/08/2023
Last Update Date	:	04/22/2026

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