Organization
SUNDANCE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE SAMPSON LMHC (MANAGER)
(678) 908-1555
Entity
Organization
Contact information
Practice address
15135 OGDEN LOOP, ODESSA, FL 33556-4633
(813) 421-4405
Mailing address
18323 JORENE RD, ODESSA, FL 33556-4909
(678) 908-1555
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/21/2026
Last updated
04/21/2026
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