Jessica Lynn Causey
Individual provider Active NPI Mental Health Counselor · Debary, FL
NPI 1114770732 · NPPES record last updated Apr 11, 2024
Key facts
- NPI
- 1114770732
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 2808 Enterprise Rd Ste 105
Debary, FL 32713-2753 - Phone
- (386) 259-5413
- NPI assigned
- Apr 11, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
2808 Enterprise Rd Ste 105
Debary, FL 32713-2753
Mailing address
638 Talwood Cir Apt F
Brandon, FL 33510-3618
Phone (813) 309-2477
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All providers in Debary, FL · Mental Health Counselor in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.