Bettyjo Camp, LMHC, MH #16156
Individual provider Active NPI Professional Counselor · Dunnellon, FL
NPI 1134498462 · NPPES record last updated Jul 7, 2020
Key facts
- NPI
- 1134498462
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 16156 (FL)
- Practice address
- 11432 N Williams St Unit 659
Dunnellon, FL 34430-7731 - Phone
- (918) 521-1997
- NPI assigned
- Dec 15, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMH-16073 | FL | MD | Mental Health Counselor |
| 16156 | FL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy in the Garden, LLC | Current |
Accepting new patients |
Locations
11432 N Williams St
Unit 659
Dunnellon, FL 34430
Phone (918) 521-1997
20757 W Pennsylvania Ave
Dunnellon, FL 34431
213 S Dillard St
Ste 110F
Winter Garden, FL 34787
Phone (918) 521-1997
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IMH-16073 | FL | |
| Professional Counselor | 101YP2500X | 16156 | FL | Yes |
Addresses
Primary practice location
11432 N Williams St Unit 659
Dunnellon, FL 34430-7731
Mailing address
11432 N Williams St Unit 659
Dunnellon, FL 34430-7731
Phone (918) 521-1997
Other practice location 1
3544 Edgewater Dr
Orlando, FL 32804-2922
Phone (407) 291-8009
Other practice location 2
213 S. Dillard St.
Suite 110F
Winter Garden, FL 34787-3478
Phone (918) 521-1997
Other providers in Dunnellon, FL
- Megan Buncie
- Me'Osha Burkett
- Byrd Transport
- Daysi Caceres
- Jannine Christine Cameron
- Judy Faye Cannon
- Jeffrey Alan Carameros
- Carevixis Inc.
- Carolina Dentures & Dentistry
- Timothy B Case
All providers in Dunnellon, FL · Professional Counselor in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.