Provider Demographics
NPI:1376816637
Name:BELIZAIRE, JEAN-COLT (MS LMHC)
Entity Type:Individual
Prefix:
First Name:JEAN-COLT
Middle Name:
Last Name:BELIZAIRE
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 1:8986 HAWKEYE CIR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32221-8089
Mailing Address - Country:US
Mailing Address - Phone:904-294-7385
Mailing Address - Fax:
Practice Address - Street 1:8986 HAWKEYE CIR
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32221-8089
Practice Address - Country:US
Practice Address - Phone:904-294-7385
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-17
Last Update Date:2012-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH11087101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health