PHILIP J FAUERBACH, LMHC (NPI# 1124491105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124491105 |
| Entity Type | Organization |
| Organization Name | PHILIP J FAUERBACH, LMHC |
| Practice Address |
915 S Parsons Ave # C Brandon FL 33511-6008 |
| Mailing Address |
3812 Hanover Hill Dr Valrico FL 33596-7161 |
| Practice Telephone | 8136511221 |
| Practice Fax Number | 8136570850 |
| Mailing Telephone | 8136817662 |
| Mailing Fax Number | 8136570850 |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2015-11-12 |
| Authorized Official Name | MR. PHILIP J FAUERBACH (PRESIDENT) |
| Authorized Official Telephone | 88136511221 |
| Authorized Official Credential | LMHC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH3399 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 761087400 | 05 |
| Street Address |
915 S PARSONS AVE # C |
| City | BRANDON |
| State | FL |
| Zip Code | 33511-6008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295367555 | Ability Beyond Measures LLC. | Clinic/Center | 2705 Isabella Valley Court, Brandon, FL 33511 | 2020-02-05 |
| 1831744655 | Brandon Modern Dentistry, Pa | Dentist | 971 E. Bloomingdale Avenue, Brandon, FL 33511 | 2019-08-08 |
| 1487208922 | Heart and Vascular Center of Brandon, Pllc | Internal Medicine | 511 Medical Oaks Ave., Brandon, FL 33511 | 2019-08-01 |
| 1841842895 | Rebecca Harrelson | Counselor | 915 Oakfield Drive, Suite E, Brandon, FL 33511 | 2019-07-10 |
| 1043779713 | Cheryl Diane Hart | Nurse Practitioner | 888 S Parsons Ave., Brandon, FL 33511 | 2019-03-13 |
| 1306303177 | Paula J Buchwald | Nurse Practitioner | 888 S. Parsons Ave, Brandon, FL 33511 | 2019-02-27 |
| 1063993996 | Ashlee Marie Shevchenko | Speech-Language Pathologist | 602 Vondeburg Dr, Suite 201, Brandon, FL 33511 | 2018-08-28 |
| 1275023012 | Ava Cares, LLC | Assisted Living Facility | 3005 Bell Shoals Rd., Brandon, FL 33511 | 2018-05-17 |
| 1346738705 | Tampa Psychology Group | Psychologist | 1463 Oakfield Dr Ste 109, Brandon, FL 33511 | 2018-05-01 |
| 1760982987 | Suresh Lama Tamang | Counselor | 510 Vonderburg Dr, Suite# 301, Brandon, FL 33511 | 2018-02-14 |
| Find all providers in zip 33511 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306472493 | Dbt Counseling Specialties LLC | Counselor | 1219 Millennium Pkwy Ste 138, Brandon, FL 33511-3896 | 2020-03-20 |
| 1538712476 | Jeannette G Alcantara | Counselor | 138 E Bloomingdale Ave Ste 1, Brandon, FL 33511-8101 | 2019-07-19 |
| 1841842895 | Rebecca Harrelson | Counselor | 915 Oakfield Drive, Suite E, Brandon, FL 33511 | 2019-07-10 |
| 1841842978 | Vita Serenity Counseling LLC | Counselor | 855 E Brandon Blvd Ste C, Brandon, FL 33511-5418 | 2019-07-09 |
| 1386129062 | Katrina Ausley | Counselor | 219 Cook St, Brandon, FL 33511-5216 | 2018-09-28 |
| 1578043899 | Taryn Xenia Temmer | Counselor | 2432 Middleton Grove Dr, Brandon, FL 33511-4775 | 2018-08-16 |
| 1760982987 | Suresh Lama Tamang | Counselor | 510 Vonderburg Dr, Suite# 301, Brandon, FL 33511 | 2018-02-14 |
| 1821510736 | Aliyyah Nailing-yamini | Counselor | 126 Lithia Pinecrest Road, Brandon, FL 33511 | 2017-07-12 |
| 1346779451 | Priscilla Rima | Counselor | 1463 Oakfield Drive, Ste 134, Brandon, FL 33511 | 2017-06-12 |
| 1578934188 | Howard W Baum IIi | Counselor | 3013 Colonial Ridge Dr, Brandon, FL 33511-7647 | 2015-10-08 |
| Find all providers in BRANDON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.