Organization · NPI-2

Ebenezer Consulting And Counseling, LLC

Clinic/Center, Mental Health (Including Community Mental Health Center) · Lutz, FL

NPI number1366309585
StatusActive
Last updated in NPPESJan 19, 2026

Details

NPI
1366309585
Entity type
Organization (NPI-2)
Legal business name
Ebenezer Consulting And Counseling, LLC
Organization subpart
No
Enumeration date
Jan 8, 2026
Certification date
Jan 19, 2026
Last updated
Jan 19, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

25200 Sawyer Francis Ln # 117
Lutz, FL 33559-6947

Phone 813-599-2784

Mailing address

22711 Sills Loop
Land O Lakes, FL 34639-4054

Phone 813-599-2784

Authorized official

Dayana Fernandez Pacheco Gorrin
Owner
8135992784

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