MEDICARE: SANDRA MOONEY MS, ARNP

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	ARNP 1216832	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ARNP 1216832	OTHER	FL	ARNP LICENSE

General Provider Information

NPI Number	:	1588713861
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANDRA MOONEY MS, ARNP

Provider Business Mailing Address
First Line	:	2020 THOMPSON RD
Second Line	:
City	:	LITHIA
State	:	FL
Zip	:	33547-2830
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1003 S ALEXANDER ST
Second Line	:	SUITE 6
City	:	PLANT CITY
State	:	FL
Zip	:	33563-8400
Country	:	US
Telephone Number	:	813-719-8404
Fax Number	:

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

Provider Enumeration Date	:	01/09/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1386796977 — MRS. TERI LEE SMITH LMT
Practice Location Address:

1003 S ALEXANDER ST , SUITE 4
PLANT CITY, FL
33563-8400

Practice Phone: 813-719-1963
Practice Fax: 813-719-1963

1821134081 — MRS. KIMBERLY A. JOHNSON LMT
Practice Location Address:

1003 S ALEXANDER ST
PLANT CITY, FL
33563-8400

Practice Phone: 813-719-1963
Practice Fax:

1598270662 — NEWTON'S HOME CARE INC
Practice Location Address:

1003 S ALEXANDER ST STE 11
PLANT CITY, FL
33563-8400

Practice Phone: 813-203-7460
Practice Fax:

1467059006 — AMANDA HARRINGTON
Practice Location Address:

1003 S ALEXANDER ST STE 3
PLANT CITY, FL
33563-8400

Practice Phone: 813-730-1010
Practice Fax:

1972185650 — EMPATHY COUNSELING, LLC
Practice Location Address:

1003 S ALEXANDER ST STE 3
PLANT CITY, FL
33563-8400

Practice Phone: 813-369-1998
Practice Fax:

1417699836 — LAILAH BUTLER
Practice Location Address:

1003 S ALEXANDER ST STE 3
PLANT CITY, FL
33563-8400

Practice Phone: 813-730-1010
Practice Fax:

Directions to “ SANDRA MOONEY MS, ARNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.