| NPI | 1790331569 |
|---|---|
| Former Legal Business Name | WOLCOTT PSYCHOTHERAPY ASSOCIATES, LLC |
| Entity Type | Organization |
| Authorized Contact | LISA R WOLCOTT Chief Executive Officer & Owner 352-363-1998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2019-08-16 |