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EDISA SHIRLEY PHD, LMHC
NPI 1700609344
Counselor - Mental Health in Jacksonville, FL

Active since November 04, 2024
538 CANDLEBARK DR, JACKSONVILLE, FL 32225(904) 294-7041 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Edisa Shirley Phd, Lmhc NPPES

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

EDISA SHIRLEY PHD, LMHC (NPI 1700609344) is an individual mental health provider in Jacksonville, Florida, licensed in Florida (MH17531) and active in the NPI registry since November 2024.

NPPES Registry Identity

NPI1700609344
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameEDISA SHIRLEYCredential: PHD, LMHC
Location Address538 CANDLEBARK DRJacksonville, FL 32225-5358
Mailing Address538 Candlebark DrJacksonville, FL 32225-5358 · (904) 294-7041
Phone(904) 294-7041
Sole ProprietorNo
Enumeration DateNovember 4, 2024
NPPES CertifiedNovember 3, 2024
✔ NPI 1700609344 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 · MH17531
538 CANDLEBARK DR, Jacksonville, FL 32225
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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 Edisa Shirley's NPI number?

The NPI number for Edisa Shirley is 1700609344. It was assigned to this individual provider in the NPPES registry on November 4, 2024.

Where is Edisa Shirley located?

Edisa Shirley practices at 538 Candlebark Dr, Jacksonville, FL 32225. The listed phone number is (904) 294-7041.

What is Edisa Shirley'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 Edisa Shirley was last updated on November 4, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.