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TASHA BRUNDGE
NPI 1417324021
Counselor - Mental Health in Jacksonville, FL

Active since August 31, 2015
2392 EDGEWOOD AVE N, JACKSONVILLE, FL 32254(904) 781-7797(904) 854-0506 Get Directions Write a Review

NPPES record last updated: August 31, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tasha Brundge NPPES

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

TASHA BRUNDGE (NPI 1417324021) is an individual mental health provider in Jacksonville, Florida and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1417324021
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTASHA BRUNDGE
Location Address2392 EDGEWOOD AVE NJacksonville, FL 32254-1725
Mailing Address2392 Edgewood Ave NJacksonville, FL 32254-1725 · (904) 781-7797 · Fax (904) 854-0506
Phone(904) 781-7797
Fax(904) 854-0506
Sole ProprietorYes
Enumeration DateAugust 31, 2015
✔ NPI 1417324021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2392 EDGEWOOD AVE N, Jacksonville, FL 32254
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Other Identifiers 1

Medicaid029591400FL

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORTHWEST BEHAVIORAL HEALTH SERVICES, INC
Community/Behavioral Health
2392 EDGEWOOD AVE N
JACKSONVILLE, FL 32254
Duval County (904) 781-7797
KEVIN LARON BROOKS B.S.
Counselor (Mental Health)
2392 EDGEWOOD AVE N
JACKSONVILLE, FL 32254
Duval County (904) 781-7797
NORTHWEST BHVRL HLTH SVS,INC
Community/Behavioral Health
2392 EDGEWOOD AVE N
JACKSONVILLE, FL 32254
Duval County (904) 781-7797
NORTHWEST BEHAVIORAL HEALTH SERVICES
Case Management
2392 EDGEWOOD AVE N
JACKSONVILLE, FL 32254
Duval County (904) 781-7797
MR. DAVID RISHARD BRADLEY
Counselor (Mental Health)
2392 EDGEWOOD AVE N
JACKSONVILLE, FL 32254
Duval County (904) 781-7797
MR. ANDREW WALTER GOETZMAN
Counselor (Mental Health)
2392 EDGEWOOD AVE N
JACKSONVILLE, FL 32254
Duval County (904) 781-7797
MRS. MELISCIA JACKSON
Counselor (Mental Health)
2392 EDGEWOOD AVE N
JACKSONVILLE, FL 32254
Duval County (904) 781-7797
MS. SHELBY SALTER
Counselor (Mental Health)
2392 EDGEWOOD AVE N
JACKSONVILLE, FL 32254
Duval County (904) 781-0600

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 Tasha Brundge's NPI number?

The NPI number for Tasha Brundge is 1417324021. It was assigned to this individual provider in the NPPES registry on August 31, 2015.

Where is Tasha Brundge located?

Tasha Brundge practices at 2392 Edgewood Ave N, Jacksonville, FL 32254. The listed phone number is (904) 781-7797.

What is Tasha Brundge'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 Tasha Brundge was last updated on August 31, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.