Provider Demographics
NPI:1912873191
Name:BRELAND, JAZZILYNN (MSW)
Entity type:Individual
Prefix:
First Name:JAZZILYNN
Middle Name:
Last Name:BRELAND
Suffix:
Gender:X
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7065 WESTPOINTE BLVD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835-8757
Mailing Address - Country:US
Mailing Address - Phone:800-630-1002
Mailing Address - Fax:
Practice Address - Street 1:7065 WESTPOINTE BLVD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-8757
Practice Address - Country:US
Practice Address - Phone:800-630-1002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-14
Last Update Date:2025-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLISW21742104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty