Provider Demographics
NPI:1245714658
Name:RINCON, JANEL MERRIE (LMHC)
Entity type:Individual
Prefix:MRS
First Name:JANEL
Middle Name:MERRIE
Last Name:RINCON
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2450 SW SUMMIT ST
Mailing Address - Street 2:
Mailing Address - City:PORT SAINT LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34984-5067
Mailing Address - Country:US
Mailing Address - Phone:954-600-0998
Mailing Address - Fax:
Practice Address - Street 1:2450 SW SUMMIT ST
Practice Address - Street 2:
Practice Address - City:PORT SAINT LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34984-5067
Practice Address - Country:US
Practice Address - Phone:954-600-0998
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-20
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH16424101YM0800X
FLMH19256101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health