Provider Demographics
NPI:1578821856
Name:JENNIFER CASTNER, LMHC, LLC
Entity Type:Organization
Organization Name:JENNIFER CASTNER, LMHC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSE MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTNER
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, NCC, LLC
Authorized Official - Phone:407-975-0414
Mailing Address - Street 1:1850 LEE RD
Mailing Address - Street 2:SUITE 305
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-2115
Mailing Address - Country:US
Mailing Address - Phone:407-975-0414
Mailing Address - Fax:407-975-0417
Practice Address - Street 1:1850 LEE RD
Practice Address - Street 2:SUITE 305
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-2115
Practice Address - Country:US
Practice Address - Phone:407-975-0414
Practice Address - Fax:407-975-0417
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-24
Last Update Date:2012-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH2693251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1538166848OtherNPI NUMBER
Z5388OtherB C/BS