Organization · Type 2 NPI

Enloe Bruce Billingsley LCSW PA

Counselor · Brandon, FL

NPI number 1104177948 Active

Practice location

1210 Millennium Pkwy, Suite 1030
Brandon, FL 33511-4896

Fax (813) 654-6952

Mailing address

1210 Millennium Parkway, Suite 1030
Brandon, FL 33511-4858

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XSW0000194 (FL)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1104177948

Enloe Bruce Billingsley LCSW PA's National Provider Identifier is 1104177948, issued on Sep 19, 2012. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Brandon, FL. The record was last updated on Sep 19, 2012.