Individual provider · Type 1 NPI

Holly Bousquet

Mental Health Counselor · Lutz, FL

NPI number 1013894757 Active

Practice location

19047 N Dale Mabry Hwy
Lutz, FL 33548-4982

Call (860) 859-7976 Map

Mailing address

2786 Summershine St Unit 201
Land O Lakes, FL 34638-3799

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1013894757

Holly Bousquet's National Provider Identifier is 1013894757, issued on Aug 15, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lutz, FL. The record was last updated on Aug 15, 2025.