FOOTSTEPS TO WELLNESS NPI 1508486291

NPI Information

NPI: 1508486291
Provider Name: FOOTSTEPS TO WELLNESS

Doing Business As: FOOTSTEPS TO RECOVERY

Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

CLIA Number: 10D2194015

Address:
121 E DIVISION ST UNIT F
CLERMONT, FL
ZIP 34711
Phone: (352) 388-7075
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FOOTSTEPS TO WELLNESS is a psychiatric/mental health nurse practitioner in Clermont, FL. FOOTSTEPS TO WELLNESS NPI is 1508486291. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Footsteps To Recovery.

The provider's business location address is:

121 E DIVISION ST UNIT F
CLERMONT, FL
ZIP 34711-951
Phone: (352) 388-7075

The provider's authorized official is Michelle Hylton .
The authorized official title is Owner and has the following contact phone number (352) 388-7075.

The CLIA number assigned to this NPI record is 10D2194015 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/22/2020 and was last updated on 12/30/2021.

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	Primary
1	363L00000X	Nurse Practitioner		No
2	363LA2200X	Nurse Practitioner	Adult Health	No
3	363LF0000X	Nurse Practitioner	Family	No
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	Yes

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: 11/14/2023

NPI Synchronization or Removal

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