MRS. KYLEE WAYNETTE BOLIBRZUCH MSW
NPI 1649764309
Counselor in Jacksonville, FL

Q: What is Kylee Bolibrzuch's NPI number?

The NPI number for Kylee Bolibrzuch is 1649764309. It was assigned to this individual provider in the NPPES registry on June 17, 2018.

Q: What is Kylee Bolibrzuch's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kylee Bolibrzuch was last updated on June 18, 2018. 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.

Active since June 17, 2018

3027 SAN DIEGO RD, JACKSONVILLE, FL 32207(904) 493-8632 Get Directions Write a Review

NPPES record last updated: June 18, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 18, 2018, Jun 17, 2018 (2 updates tracked since 2018).

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About Mrs. Kylee Waynette Bolibrzuch Msw NPPES

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

MRS. KYLEE WAYNETTE BOLIBRZUCH MSW (NPI 1649764309) is an individual counselor in Jacksonville, Florida and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1649764309

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameMRS. KYLEE WAYNETTE BOLIBRZUCHCredential: MSW

Location Address3027 SAN DIEGO RDJacksonville, FL 32207

Mailing Address15856 Baxter Creek DrJacksonville, FL 32218-8354 · (619) 886-9711

Phone(904) 493-8632

Sole ProprietorYes

Enumeration DateJune 17, 2018

Last NPPES UpdateJune 18, 20182 updates tracked since enumeration

✔ NPI 1649764309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

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.

Also ListedSocial WorkerTaxonomy 104100000X

Also ListedSocial Worker · SchoolTaxonomy 1041S0200X

3027 SAN DIEGO RD, Jacksonville, FL 32207

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Other Providers at the Same Location NPPES 20

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

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Social Worker