Mary Louise Poley, LMHC INTERN
Individual provider Active NPI Mental Health Counselor · Jay, FL
NPI 1295608339 · NPPES record last updated Sep 25, 2025
Key facts
- NPI
- 1295608339
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- IMH28102 (FL)
- Practice address
- 5166 Highway 182
Jay, FL 32565-9357 - Phone
- (850) 910-1326
- NPI assigned
- Sep 25, 2025
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMH28102 | FL | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IMH28102 | FL | Yes |
Addresses
Primary practice location
5166 Highway 182
Jay, FL 32565-9357
Mailing address
5166 Highway 182
Jay, FL 32565-9357
Phone (850) 910-1326
Other providers in Jay, FL
- Alaina Smith Paul
- Jennifer S Paulley
- Savannah Payne
- Pensacola Nephrology, PA
- Nicole Pickett
- Janet Elaine Pospiech
- Lauren Reeves
- Kelly Turman Robbins
- Tyler Dewayne Roley
- Stephanie Jean Samons
All providers in Jay, 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 25, 2025. 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.