Prodigia Counseling & Wellness, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PRODIGIA COUNSELING & WELLNESS, LLC

Practice address

3321 Fiddle Leaf Way
Lakeland, FL 33811-3039

Phone

(863) 608-3962

NPI assigned

Jul 23, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Cassandra Sabol, LMHCNPI 1073103792

Title

Manager

Phone

(863) 608-3962

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cassandra Lynn Sabol, IMHC

  • Mental Health Counselor
  • Lakeland, FL
  • NPI 1073103792
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1528896404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3321 FIDDLE LEAF WAY",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338113039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3321 FIDDLE LEAF WAY",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338113039",
            "telephone_number": "863-608-3962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRODIGIA COUNSELING & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "SABOL",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "863-608-3962",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.