Provider Demographics
NPI:1245841253
Name:JESSICA & MICHAEL COUNSELING AND CONSULTING LLC
Entity type:Organization
Organization Name:JESSICA & MICHAEL COUNSELING AND CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:L
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:813-530-8175
Mailing Address - Street 1:17406 NEW CROSS CIR
Mailing Address - Street 2:
Mailing Address - City:LITHIA
Mailing Address - State:FL
Mailing Address - Zip Code:33547-4916
Mailing Address - Country:US
Mailing Address - Phone:815-503-2944
Mailing Address - Fax:813-354-2422
Practice Address - Street 1:17406 NEW CROSS CIR
Practice Address - Street 2:
Practice Address - City:LITHIA
Practice Address - State:FL
Practice Address - Zip Code:33547-4916
Practice Address - Country:US
Practice Address - Phone:815-503-2944
Practice Address - Fax:813-354-2422
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-13
Last Update Date:2020-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty