Provider Type Icon

PROVENZANO COUNSELING SERVICES NPI 1487167227


NPI Information

NPI: 1487167227
Provider Name: PROVENZANO COUNSELING SERVICES
Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
13400 SUTTON PARK DR S STE 1504
JACKSONVILLE, FL
ZIP 32224
Phone: (904) 568-5826
Get Directions

PROVENZANO COUNSELING SERVICES is a counselor in Jacksonville, FL. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. PROVENZANO COUNSELING SERVICES NPI is 1487167227. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

13400 SUTTON PARK DR S STE 1504
JACKSONVILLE, FL
ZIP 32224-237
Phone: (904) 568-5826

The provider's authorized official is Liza Cristin Provenzano .
The authorized official title is Owner/counselor and has the following contact phone number (904) 568-5826.

The enumeration date for this NPI number is 11/15/2017 and was last updated on 11/15/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorMH9038FLORIDAYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.