Active NPI
Psychoeducare, LLC
- Mental Health Counselor
- Haines City, FL
National Provider Identifier
1104797208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- PSYCHOEDUCARE, LLC
- Practice address
- 1583 Gardiner St
Haines City, FL 33844-9474 - Phone
- (352) 615-4502
- NPI assigned
- Sep 13, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anamary Cruz, MSW, CCT, CTP, CGP
- Title
- Founder and President
- Phone
- (352) 615-4502
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1583 Gardiner St
Haines City, FL 33844-9474
Mailing address
PO Box 388
Davenport, FL 33836-0388
Phone (352) 615-4502
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757721600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757721600000",
"number": "1104797208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 388",
"city": "DAVENPORT",
"state": "FL",
"postal_code": "338360388",
"telephone_number": "352-615-4502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1583 GARDINER ST",
"city": "HAINES CITY",
"state": "FL",
"postal_code": "338449474",
"telephone_number": "352-615-4502"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PSYCHOEDUCARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-13",
"last_updated": "2025-09-13",
"certification_date": "2025-09-11",
"status": "A",
"authorized_official_last_name": "CRUZ",
"authorized_official_first_name": "ANAMARY",
"authorized_official_title_or_position": "FOUNDER AND PRESIDENT",
"authorized_official_telephone_number": "352-615-4502",
"authorized_official_credential": "MSW, CCT, CTP, CGP"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Haines City, FL
- PM Pediatrics P a
- Poinciana Medical Center, Inc.
- Poinciana Personal Care & Companion Services Corp
- Polk County Board of County Commissioners
- Professional Counseling Associates Center
- Publix Super Markets Inc
- Publix Super Markets, Inc.
- Purple Passion Enterprises, LLC
- Sandra Quirino, HEARING AID SPECIALI
- Mohammad Masoom Qureshi, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.