LYSAL ENTERPRISES, INC.
NPI 1053712125
Counselor - Mental Health in Jacksonville, FL

Q: What is Lysal Enterprises, Inc.'s NPI number?

The NPI number for Lysal Enterprises, Inc. is 1053712125. It was assigned to this organization in the NPPES registry on September 9, 2014.

Q: What is Lysal Enterprises, Inc.'s specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Active since September 09, 2014

7215 ZAPATA DR, JACKSONVILLE, FL 32210(904) 759-5089(904) 573-2610 Get Directions Write a Review

NPPES record last updated: September 9, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Lysal Enterprises, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LYSAL ENTERPRISES, INC. (NPI 1053712125) is a healthcare organization registered as a mental health in Jacksonville, Florida and active in the NPI registry since September 2014. The organization lists Chanda L. Moore, Ceo, as its authorized official.

NPPES Registry Identity

NPI1053712125

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameLYSAL ENTERPRISES, INC.

Location Address7215 ZAPATA DRJacksonville, FL 32210-4772

Mailing Address7215 Zapata DrJacksonville, FL 32210-4772 · (904) 759-5089 · Fax (904) 573-2610

Phone(904) 759-5089

Fax(904) 573-2610

Organization SubpartNo

Authorized OfficialChanda L. MooreCeo · (904) 759-5089

Enumeration DateSeptember 9, 2014

✔ NPI 1053712125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

Also ListedPsychologist · Prescribing (Medical)Taxonomy 103TP0016X

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X

Also ListedClinical Nurse Specialist · Home HealthTaxonomy 364SH0200X

7215 ZAPATA DR, Jacksonville, FL 32210

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lysal Enterprises, Inc.'s NPI number?

The NPI number for Lysal Enterprises, Inc. is 1053712125. It was assigned to this organization in the NPPES registry on September 9, 2014.

Where is Lysal Enterprises, Inc. located?

Lysal Enterprises, Inc. is located at 7215 Zapata Dr, Jacksonville, FL 32210. The listed phone number is (904) 759-5089.

What is Lysal Enterprises, Inc.'s specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Lysal Enterprises, Inc. was last updated on September 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.