Provider Demographics
NPI:1801289129
Name:PILOT, JENNIFER (LMHC)
Entity type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:
Last Name:PILOT
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 1:150 BEAR SPRINGS DR APT 116
Mailing Address - Street 2:
Mailing Address - City:WINTER SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32708-2837
Mailing Address - Country:US
Mailing Address - Phone:321-689-0529
Mailing Address - Fax:321-348-9503
Practice Address - Street 1:555 WINDERLEY PL STE 300
Practice Address - Street 2:
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-7133
Practice Address - Country:US
Practice Address - Phone:321-689-0529
Practice Address - Fax:321-348-9503
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-11
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty