| Doctor Name: | MR. TED ROBERT PEARSON |
| NPI Number: | 1033355003 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.A. LMHC |
| License Number: | MH 2746 |
| Business Practice Address: | 5331 Commercial Way Suite 212 Spring Hill, FL - 346061449 |
| Business Phone Number: | 3525970969 |
| Business Fax Number: | 3525976853 |
| Mailing Address: | 5331 Commercial Way, Suite 212 SPRING HILL |
| State: | FL |
| Postal Code: | 346061449 |
| Phone Number: | 3525970969 |
| Fax Number: | 3525976853 |
| NPI Enumeration Date: | 12/22/2008 |
| NPI Last Update Date: | 01/28/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | MH 2746 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |