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THERESA CORNELIOUS
NPI 1093531394
Counselor - Mental Health in Jacksonville, FL

Active since December 02, 2024
1811 MONTWARD PRESERVE WAY, JACKSONVILLE, FL 32218(904) 361-1308 Get Directions Write a Review

NPPES record last updated: December 2, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Theresa Cornelious NPPES

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

THERESA CORNELIOUS (NPI 1093531394) is an individual mental health provider in Jacksonville, Florida and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1093531394
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTHERESA CORNELIOUS
Location Address1811 MONTWARD PRESERVE WAYJacksonville, FL 32218-4758
Mailing Address1811 Montward Preserve WayJacksonville, FL 32218-4758 · (904) 361-1308
Phone(904) 361-1308
Sole ProprietorNo
Enumeration DateDecember 2, 2024
NPPES CertifiedDecember 2, 2024
✔ NPI 1093531394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1811 MONTWARD PRESERVE WAY, Jacksonville, FL 32218
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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 Theresa Cornelious's NPI number?

The NPI number for Theresa Cornelious is 1093531394. It was assigned to this individual provider in the NPPES registry on December 2, 2024.

Where is Theresa Cornelious located?

Theresa Cornelious practices at 1811 Montward Preserve Way, Jacksonville, FL 32218. The listed phone number is (904) 361-1308.

What is Theresa Cornelious'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 Theresa Cornelious was last updated on December 2, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.