Organization · NPI-2

Emmaus Road Counseling, INC

Community/Behavioral Health · Lutz, FL

NPI number1689536831
StatusActive
Last updated in NPPESNov 25, 2025

Details

NPI
1689536831
Entity type
Organization (NPI-2)
Legal business name
Emmaus Road Counseling, INC
Organization subpart
No
Enumeration date
Nov 25, 2025
Certification date
Nov 25, 2025
Last updated
Nov 25, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Practice location

17880 N Us Highway 41
Lutz, FL 33549-4502

Phone 813-395-4091

Mailing address

5639 White Trillium Loop
Land O Lakes, FL 34639-2767

Phone 813-395-4091

Authorized official

Alan Alonso
Owner/Counselor
8133954091

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