RICKEY ITWARU
NPI 1477371987
Counselor - Mental Health in Winter Garden, FL
Active since October 02, 2024
About Rickey Itwaru NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RICKEY ITWARU (NPI 1477371987) is an individual mental health provider in Winter Garden, Florida, licensed in Florida (IMH20741) and active in the NPI registry since October 2024.
NPPES Registry Identity
NPI1477371987
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameRICKEY ITWARU
Location Address745 S MAIN STWinter Garden, FL 34787-3927
Mailing Address745 S Main StWinter Garden, FL 34787-3927 · (917) 568-8482
Phone(917) 568-8482
Sole ProprietorYes
Enumeration DateOctober 2, 2024
NPPES CertifiedOctober 2, 2024
✔ NPI 1477371987 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · IMH20741
745 S MAIN ST, Winter Garden, FL 34787
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477371987, enumerated as an "individual" on October 02, 2024.
The provider is located at 745 S MAIN ST WINTER GARDEN, FL 34787 and the phone number is (917) 568-8482.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
