Provider Demographics
NPI:1770725673
Name:SCHWARTZ, NANCY MARIE (LMHC)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:MARIE
Last Name:SCHWARTZ
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 1:4600 TOUCHTON RD E
Mailing Address - Street 2:SUITE150
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32246-8299
Mailing Address - Country:US
Mailing Address - Phone:904-610-8433
Mailing Address - Fax:
Practice Address - Street 1:4600 TOUCHTON RD E
Practice Address - Street 2:SUITE150
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32246-8299
Practice Address - Country:US
Practice Address - Phone:904-610-8433
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-24
Last Update Date:2009-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH0002839101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health