Jateasia Ashley Littles, MSW
Individual provider Active NPI Mental Health Counselor · Bristol, FL
NPI 1174138697 · NPPES record last updated Sep 11, 2020
Key facts
- NPI
- 1174138697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 10611 NW Sr 20
Bristol, FL 32321 - Phone
- (850) 643-1033
- NPI assigned
- Sep 11, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| With Grace Counseling LLC | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor |
101Y00000X | FL | ||
| Mental Health Counselor |
101YM0800X | FL | Yes |
Addresses
Primary practice location
10611 NW Sr 20
Bristol, FL 32321
Mailing address
3555 Sedona Loop
Tallahassee, FL 32308-6112
Phone (904) 434-9285
Other providers in Bristol, FL
- Liberty County School Board
- Liberty County School Board
- Liberty County School Board
- Liberty County Senior Citizens Assoc. Inc.
- Liberty Oaks Alf LLC
- Ivan Ricardo Lopez
- Telisa D Marlowe-McCray
- Annabelle Jamie Martinez
- Keisa Yvette McBride
- Autumn Grace McLemore
All providers in Bristol, 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 Sep 11, 2020. 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.