SHEDDING LIGHT COUNSELING 'LLC' (NPI# 1699253666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699253666 |
| Entity Type | Organization |
| Organization Name | SHEDDING LIGHT COUNSELING 'LLC' |
| Practice Address |
24059 Cortez Blvd Brooksville FL 34601 |
| Mailing Address |
24059 Cortez Blvd Brooksville FL 34601-7722 |
| Practice Telephone | 3526317717 |
| Mailing Telephone | 3523976889 |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2019-07-24 |
| Authorized Official Name | MS. GINGER M SANTIAGO (PRESIDENT) |
| Authorized Official Telephone | 3523976889 |
| Authorized Official Credential | LMHC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH14870 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 021304600 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12128 Cortez Blvd, Brooksville, FL 346135575 | 3526317717 | |
| 717 Benton Ave, Brooksville, FL 346013213 | 3523976889 |
| Street Address |
24059 CORTEZ BLVD |
| City | BROOKSVILLE |
| State | FL |
| Zip Code | 34601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811526643 | Benzer Fl 39 LLC | Pharmacy | 80 Ponca De Leon Blvd, Brooksville, FL 34601 | 2020-04-03 |
| 1245868702 | Karon Elaine Stagg | Specialist/Technologist | 20158 Cortez Blvb, Brookesville, FL 34601 | 2020-03-31 |
| 1265952162 | Tysheeca Deandrea Washington | Assistant Behavior Analyst | 1535 Greenbriar Villa Circle, Brooksville, FL 34601 | 2017-06-21 |
| 1386179836 | Andrew Bishay | Emergency Medical Technician, Intermediate | 7284 Broad St, Brooksville, FL 34601 | 2017-04-21 |
| 1265892152 | Ralph Vitola | Pharmacist | 218 S. Broad St., Brooksville, FL 34601 | 2016-03-04 |
| 1689018301 | Nic 4 The Grande Leasing LLC | Assisted Living Facility | 725 Desoto Avenue, Brooksville, FL 34601 | 2013-04-24 |
| 1023301496 | Gerald Warren Springstead | Dentist | 605 W. Jefferson St., Brooksville, FL 34601 | 2011-05-18 |
| 1417280330 | Growing Center Counseling | Counselor | 275 W. Jefferson St., Brooksville, FL 34601 | 2009-09-10 |
| 1073663118 | Jennifer Suiters | Social Worker | 706 Ponce De Leon Blvd, Brooksville, FL 34601 | 2007-01-11 |
| 1326114349 | Ernest A Brady Jr. | Dentist | 120 No Broad St Suite 102, Brooksville, FL 34601 | 2006-11-28 |
| Find all providers in zip 34601 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780204461 | Debra Jean Pilla | Counselor | 2384 Cross Tee Ct, Brooksville, FL 34604-9251 | 2020-04-22 |
| 1114431194 | Beket Lott | Counselor | 201 Culbreath Rd, Brooksville, FL 34602-6017 | 2017-11-28 |
| 1942749544 | Penelope J Hazinakis-swainston | Counselor | 20158 Cortez Blvd, Brooksville, FL 34601-3832 | 2017-02-15 |
| 1205295219 | Ann Marshall | Counselor | 31021 Park Ridge Dr, Brooksville, FL 34602-7541 | 2016-02-18 |
| 1952709255 | Ginger Santiago | Counselor | 717 Benton Ave, Brooksville, FL 34601-3213 | 2014-12-18 |
| 1942606066 | Stephanie Safos-moriarty | Counselor | 15381 Durango Cir, Brooksville, FL 34604-5008 | 2014-11-17 |
| 1598105512 | Tiffani Hardin | Counselor | 8449 Cobb Rd, Brooksville, FL 34601-8704 | 2013-07-05 |
| 1659635274 | Miyosia Plummer | Counselor | 7074 Grove Road, Brooksville, FL 34609 | 2012-06-28 |
| 1902108244 | Betty Baumstark | Counselor | 20162 Cortez Blvd, Brooksville, FL 34601-3832 | 2010-11-18 |
| 1417280330 | Growing Center Counseling | Counselor | 275 W. Jefferson St., Brooksville, FL 34601 | 2009-09-10 |
| Find all providers in BROOKSVILLE | ||||
| City | BROOKSVILLE |
| Zip Code | 34601 |
Please comment or provide details below to improve the information on SHEDDING LIGHT COUNSELING 'LLC'.
| 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.