ENLOE BRUCE BILLINGSLEY LCSW PA NPI 1104177948

NPI Information

  • NPI: 1104177948
  • Provider Name: ENLOE BRUCE BILLINGSLEY LCSW PA
  • Classification: Counselor - 101Y00000X
  • Entity Type: Organization
  • Address: 1210 MILLENNIUM PKWY
    SUITE 1030
    BRANDON, FL
    ZIP 33511
  • Phone: (813) 654-8916

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NPI Details

ENLOE BRUCE BILLINGSLEY LCSW PA is a counselor in Brandon, FL. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. ENLOE BRUCE BILLINGSLEY LCSW PA NPI is 1104177948. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1210 MILLENNIUM PKWY
SUITE 1030
BRANDON, FL
ZIP 33511-896
Phone: (813) 654-8916
Fax: (813) 654-6952

The provider's authorized official is Enloe Bruce Billingsley .
The authorized official title is Lcsw and has the following contact phone number (813) 654-8916.

The enumeration date for this NPI number is 9/19/2012 and was last updated on 9/19/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorSW0000194FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1Z1594OTHERFLORIDABC/BS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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