Provider Demographics
NPI:1487477154
Name:ESSENCE COUNSELING SERVICES LLC
Entity type:Organization
Organization Name:ESSENCE COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MISCALINE
Authorized Official - Middle Name:
Authorized Official - Last Name:PRESUME
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LMHC
Authorized Official - Phone:941-301-9479
Mailing Address - Street 1:11806 BRUCE B DOWNS BLVD # 1080
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33612-5542
Mailing Address - Country:US
Mailing Address - Phone:813-530-6061
Mailing Address - Fax:
Practice Address - Street 1:6643 BLUFF MEADOW CT
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33545-4805
Practice Address - Country:US
Practice Address - Phone:941-301-9479
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-01
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty