MRS. JENNIFER MARIE BRISCHETTO
NPI 1154674265
Counselor - Mental Health in Pinellas Park, FL
Active since October 26, 2012
About Mrs. Jennifer Marie Brischetto NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JENNIFER MARIE BRISCHETTO (NPI 1154674265) is an individual mental health provider in Pinellas Park, Florida, licensed in Florida (MH18383) and active in the NPI registry since October 2012.
NPPES Registry Identity
NPI1154674265
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. JENNIFER MARIE BRISCHETTO
Location Address34916 GANDY BLVD NORTHPinellas Park, FL 33781-2658
Mailing Address3500 Martell StNew Port Richey, FL 34655-2701 · (727) 237-7786
Phone(727) 547-0607
Sole ProprietorNo
Enumeration DateOctober 26, 2012
Last NPPES UpdateJanuary 19, 2021
NPPES CertifiedJanuary 11, 2021
✔ NPI 1154674265 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · MH18383
34916 GANDY BLVD NORTH, Pinellas Park, FL 33781
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154674265, enumerated as an "individual" on October 26, 2012.
The provider is located at 34916 GANDY BLVD NORTH PINELLAS PARK, FL 33781 and the phone number is (727) 547-0607.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.