Essence of Life Counseling Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MH13677 Issued in FL

Legal business name

ESSENCE OF LIFE COUNSELING SERVICES, LLC

Practice address

7235 Bonneval Rd
Suite# 205
Jacksonville, FL 32256-7565

Phone

(904) 699-6342

Fax

(904) 861-0441

NPI assigned

Dec 7, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tyrenia Octavia Cross, LMHCNPI 1184018665

Title

Owner

Phone

(904) 699-6342

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tyrenia Octavia Cross, LMHC

  • Mental Health Counselor
  • Jacksonville, FL
  • NPI 1184018665
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1449446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449446400000",
    "number": "1124493804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16462 TISONS BLUFF RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322188993",
            "telephone_number": "904-699-6342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7235 BONNEVAL RD",
            "address_2": "SUITE# 205",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567565",
            "telephone_number": "904-699-6342",
            "fax_number": "904-861-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENCE OF LIFE COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-07",
        "last_updated": "2015-12-07",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "TYRENIA",
        "authorized_official_middle_name": "OCTAVIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-699-6342",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MH13677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Esposito-Comeaux, OT
• Emilie Ann Esposito
• Stephanie Esposito, APRN, FNP-C
• Helan Essa, LCSW
• Junaid Munaf Essa, DO
• Essential Care Group, LLC
• Essential Home Care Services, LLC
• John Essex
• Essilor Laboratories of America, Inc
• Essybella Healing Partners LLC

• Community/Behavioral Health Agency in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.