Provider Demographics
NPI:1932610680
Name:JEAN-COLT BELIZAIRE
Entity Type:Organization
Organization Name:JEAN-COLT BELIZAIRE
Other - Org Name:JEAN-COLT BELIZAIRE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JEAN-COLT
Authorized Official - Middle Name:
Authorized Official - Last Name:BELIZAIRE
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, CAP PHD
Authorized Official - Phone:904-294-7385
Mailing Address - Street 1:PO BOX 60012
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32236-0012
Mailing Address - Country:US
Mailing Address - Phone:904-294-7385
Mailing Address - Fax:
Practice Address - Street 1:4133 UNIVERSITY BLVD S STE 3
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-4350
Practice Address - Country:US
Practice Address - Phone:904-294-7385
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-21
Last Update Date:2018-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty