FATISHA RAYNELL HOLNESS
NPI 1730903360
Counselor - Mental Health in Jacksonville, FL

Q: What is Fatisha Holness's NPI number?

The NPI number for Fatisha Holness is 1730903360. It was assigned to this individual provider in the NPPES registry on November 11, 2024.

Q: What is Fatisha Holness's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Fatisha Holness was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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 November 11, 2024

4070 HERSCHEL ST STE 11706, JACKSONVILLE, FL 32210(904) 567-0813 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 28, 2025, Nov 11, 2024 (2 updates tracked since 2024).

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About Fatisha Raynell Holness NPPES

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

FATISHA RAYNELL HOLNESS (NPI 1730903360) is an individual mental health provider in Jacksonville, Florida, licensed in Florida (IMH27455) and active in the NPI registry since November 2024.

NPPES Registry Identity

NPI1730903360

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameFATISHA RAYNELL HOLNESS

Location Address4070 HERSCHEL ST STE 11706Jacksonville, FL 32210-2266

Mailing Address6645 S State Road 121Macclenny, FL 32063-5439 · (646) 897-4317

Phone(904) 567-0813

Sole ProprietorNo

Enumeration DateNovember 11, 2024

Last NPPES UpdateMay 28, 20252 updates tracked since enumeration

NPPES CertifiedMay 28, 2025

✔ NPI 1730903360 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 · IMH27455

4070 HERSCHEL ST STE 11706, Jacksonville, FL 32210

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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 Fatisha Holness's NPI number?

The NPI number for Fatisha Holness is 1730903360. It was assigned to this individual provider in the NPPES registry on November 11, 2024.

Where is Fatisha Holness located?

Fatisha Holness practices at 4070 Herschel St Ste 11706, Jacksonville, FL 32210. The listed phone number is (904) 567-0813.

What is Fatisha Holness'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 Fatisha Holness was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.