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PROVENZANO COUNSELING SERVICES
NPI 1487167227
Counselor in Jacksonville, FL

Active since November 15, 2017
13400 SUTTON PARK DR S STE 1504, JACKSONVILLE, FL 32224(904) 568-5826 Get Directions Write a Review

NPPES record last updated: November 15, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Provenzano Counseling Services NPPES

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

PROVENZANO COUNSELING SERVICES (NPI 1487167227) is a healthcare organization registered as a counselor in Jacksonville, Florida and active in the NPI registry since November 2017. The organization lists Liza Cristin Provenzano, Owner/counselor, as its authorized official.

NPPES Registry Identity

NPI1487167227
Entity TypeOrganization
Primary Taxonomy101Y00000X
Legal Business NamePROVENZANO COUNSELING SERVICES
Location Address13400 SUTTON PARK DR S STE 1504Jacksonville, FL 32224-0237
Mailing Address912 Collinswood Dr WJacksonville, FL 32225-0861 · (904) 568-5826
Phone(904) 568-5826
Organization SubpartNo
Authorized OfficialLiza Cristin ProvenzanoOwner/counselor · (904) 568-5826
Enumeration DateNovember 15, 2017
✔ NPI 1487167227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in FL · MH9038
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
13400 SUTTON PARK DR S STE 1504, Jacksonville, FL 32224
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. ELICIA D ROOS D.O.
Family Medicine
13400 SUTTON PARK DR S STE 1504
JACKSONVILLE, FL 32224
Duval County (904) 799-7667

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 Provenzano Counseling Services's NPI number?

The NPI number for Provenzano Counseling Services is 1487167227. It was assigned to this organization in the NPPES registry on November 15, 2017.

Where is Provenzano Counseling Services located?

Provenzano Counseling Services is located at 13400 Sutton Park Dr S Ste 1504, Jacksonville, FL 32224. The listed phone number is (904) 568-5826.

What is Provenzano Counseling Services's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Provenzano Counseling Services was last updated on November 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.