MRS. ANTRECIA RUSSELL NPI 1902654296

NPI Information

  • NPI: 1902654296
  • Provider Name: MRS. ANTRECIA RUSSELL
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 2459 NORWOOD PL
    TAVARES, FL
    ZIP 32778
  • Phone: (863) 808-8086

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NPI Details

MRS. Antrecia Russell is a mental health counselor in Tavares, FL. MRS. Antrecia Russell NPI is 1902654296. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2459 NORWOOD PL
TAVARES, FL
ZIP 32778-101
Phone: (863) 808-8086

The enumeration date for this NPI number is 5/10/2024 and was last updated on 5/10/2024.

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
1101YM0800XCounselorMental HealthFLORIDAYes

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: 11/21/2025

NPI Synchronization or Removal

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