Sundance Counseling LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Odessa, FL. Organization (NPI-2).
NPI number1003751561
StatusActive
Last updated in NPPESApr 21, 2026
Details
- NPI
- 1003751561
- Entity type
- Organization (NPI-2)
- Legal business name
- Sundance Counseling LLC
- Organization subpart
- No
- Enumeration date
- Apr 21, 2026
- Certification date
- Apr 21, 2026
- Last updated
- Apr 21, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
15135 Ogden LoopOdessa, FL 33556-4633
Phone 813-421-4405
Mailing address
18323 Jorene RdOdessa, FL 33556-4909
Phone 678-908-1555
Authorized official
Nicole Sampson
Manager
6789081555
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