LYSAL ENTERPRISES INC. NPI 1053712125

NPI Information

  • NPI: 1053712125
  • Provider Name: LYSAL ENTERPRISES, INC.
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 7215 ZAPATA DR
    JACKSONVILLE, FL
    ZIP 32210
  • Phone: (904) 759-5089

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NPI Details

LYSAL ENTERPRISES, INC. is a mental health counselor in Jacksonville, FL. LYSAL ENTERPRISES, INC. NPI is 1053712125. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7215 ZAPATA DR
JACKSONVILLE, FL
ZIP 32210-772
Phone: (904) 759-5089
Fax: (904) 573-2610

The provider's authorized official is Chanda L. Moore .
The authorized official title is Ceo and has the following contact phone number (904) 759-5089.

The enumeration date for this NPI number is 9/9/2014 and was last updated on 9/9/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TP0016XPsychologistPrescribing (Medical)No
2363LP2300XNurse PractitionerPrimary CareNo
3364SH0200XClinical Nurse SpecialistHome HealthNo
4101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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