Individual provider · Type 1 NPI

Dustin Ernest Baetz

Mental Health Counselor · Longwood, FL

NPI number 1174192173 Active

Practice location

2290 N Ronald Reagan Blvd Ste 116
Longwood, FL 32750-3534

Call (407) 215-0095 Map

Mailing address

General Delivery
Orlando, FL 32802-9999

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH21933 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1174192173

Dustin Ernest Baetz's National Provider Identifier is 1174192173, issued on Jun 23, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Longwood, FL. The record was last updated on Oct 17, 2026.