Provider Demographics
NPI:1831500081
Name:TSAI, MONICA SUZETTE (MA, RMHCI)
Entity Type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:SUZETTE
Last Name:TSAI
Suffix:
Gender:F
Credentials:MA, RMHCI
Other - Prefix:MISS
Other - First Name:MONICA
Other - Middle Name:SUZETTE
Other - Last Name:CHAMNESS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2925 AMELLIA DR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32257-5701
Mailing Address - Country:US
Mailing Address - Phone:904-448-0273
Mailing Address - Fax:904-448-0273
Practice Address - Street 1:2950 HALCYON LN STE 204
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32223-6690
Practice Address - Country:US
Practice Address - Phone:904-607-6044
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH9781101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health