Provider Demographics
NPI:1073989646
Name:MUENZMAY, PAUL BLACKBURN (MS, LMHC)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:BLACKBURN
Last Name:MUENZMAY
Suffix:
Gender:M
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7751 MACAULAY CT
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32244-5536
Mailing Address - Country:US
Mailing Address - Phone:904-923-0089
Mailing Address - Fax:
Practice Address - Street 1:7751 MACAULAY CT
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32244-5536
Practice Address - Country:US
Practice Address - Phone:904-923-0089
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-18
Last Update Date:2015-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 13017101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health