Search › Florida › 172V00000X
Nabuchi Anderson, MHC
NPI 1700134715 · on the registry since 2012 · sole proprietor
Practice
- Address
- 15508 Willet Ct
Mascotte, FL 34753 - Phone
- (352) 255-6458
- Fax
- (352) 410-6118
- Organisation at this address
- Grace'S Support Services, Llc
Life Change Outreach Organization
Life Change Outreach Organization, IncInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 172V00000X
172V00000X
- Also registered as
- 171M00000X
101YM0800X - Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-07-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida