NPI 1124491105

Philip J Fauerbach, Lmhc

Organisation Mental Health Counselor Brandon, FL

Practice location

Address: 915 S Parsons Ave # C, Brandon, FL 33511-6008
Phone: (813) 651-1221
Fax: (813) 657-0850
Mailing address: 3812 Hanover Hill Dr, Valrico, FL 33596-7161

Authorised official

Name: Philip J Fauerbach
Title: President
Phone: 88136511221

Registered specialties

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence MH3399 (FL)

Other Counselor providers in Florida →

Registry record

NPI: 1124491105
Entity type: Organization
NPI issued: 12 Nov 2015
Record last updated: 12 Nov 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.