AMANDA BLEAK
NPI 1679905228
Counselor - Mental Health in Jacksonville, FL

Active since August 06, 2013
4203 SOUTHPOINT BLVD, JACKSONVILLE, FL 32216(904) 296-1055(904) 296-1953 Get Directions Write a Review

NPPES record last updated: August 6, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amanda Bleak NPPES

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

AMANDA BLEAK (NPI 1679905228) is an individual mental health provider in Jacksonville, Florida, licensed in Florida (MH11952) and active in the NPI registry since August 2013.

NPPES Registry Identity

NPI1679905228
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAMANDA BLEAK
Location Address4203 SOUTHPOINT BLVDJacksonville, FL 32216-6164
Mailing Address4203 Southpoint BlvdJacksonville, FL 32216-6164 · (904) 296-1055 · Fax (904) 296-1953
Fax(904) 296-1953
Sole ProprietorYes
Enumeration DateAugust 6, 2013
NPI 1679905228 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 · MH11952
4203 SOUTHPOINT BLVD, Jacksonville, FL 32216

Other Providers at the Same Location NPPES 8

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

Counselor (Mental Health)
4203 SOUTHPOINT BLVD
JACKSONVILLE, FL 32216
Counselor
4203 SOUTHPOINT BLVD
JACKSONVILLE, FL 32216
Social Worker (Clinical)
4203 SOUTHPOINT BLVD
JACKSONVILLE, FL 32216
Counselor (Mental Health)
4203 SOUTHPOINT BLVD
JACKSONVILLE, FL 32216
Counselor (Mental Health)
4203 SOUTHPOINT BLVD
JACKSONVILLE, FL 32216
Counselor (Mental Health)
4203 SOUTHPOINT BLVD
JACKSONVILLE, FL 32216
Social Worker (Clinical)
4203 SOUTHPOINT BLVD
JACKSONVILLE, FL 32216
Marriage & Family Therapist
4203 SOUTHPOINT BLVD
JACKSONVILLE, FL 32216

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 Amanda Bleak's NPI number?

The NPI number for Amanda Bleak is 1679905228. It was assigned to this individual provider in the NPPES registry on August 6, 2013.

Where is Amanda Bleak located?

Amanda Bleak practices at 4203 Southpoint Blvd, Jacksonville, FL 32216. The listed phone number is (904) 296-1055.

What is Amanda Bleak'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 Amanda Bleak was last updated on August 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.