Provider Demographics
NPI:1861868929
Name:JILL FISCHBERG, LMHC
Entity type:Organization
Organization Name:JILL FISCHBERG, LMHC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:JILL
Authorized Official - Middle Name:
Authorized Official - Last Name:FISCHBERG
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:941-468-4567
Mailing Address - Street 1:2875 ASHTON RD UNIT 20656
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34276-7149
Mailing Address - Country:US
Mailing Address - Phone:941-468-4567
Mailing Address - Fax:941-296-7251
Practice Address - Street 1:2875 ASHTON RD UNIT 20656
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34276-7149
Practice Address - Country:US
Practice Address - Phone:941-468-4567
Practice Address - Fax:941-296-7251
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-12
Last Update Date:2025-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH10788101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty