REBECCA GAUNTLETT LMHC
NPI 1811492374
Counselor - Mental Health in Jacksonville, FL
Active since March 27, 2018
About Rebecca Gauntlett Lmhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REBECCA GAUNTLETT LMHC (NPI 1811492374) is an individual mental health provider in Jacksonville, Florida, licensed in Florida (MH11143) and active in the NPI registry since March 2018.
NPPES Registry Identity
NPI1811492374
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameREBECCA GAUNTLETTCredential: LMHC
Location Address1225 W BEAVER ST STE 205Jacksonville, FL 32204-1416
Mailing Address4378 Kelnepa DrJacksonville, FL 32207-6226 · (904) 333-6771
Phone(904) 712-3540
Sole ProprietorYes
Enumeration DateMarch 27, 2018
Last NPPES UpdateJune 16, 20182 updates tracked since enumeration
✔ NPI 1811492374 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 · MH11143
1225 W BEAVER ST STE 205, Jacksonville, FL 32204
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1811492374, enumerated as an "individual" on March 27, 2018.
The provider is located at 1225 W BEAVER ST STE 205 JACKSONVILLE, FL 32204 and the phone number is (904) 712-3540.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.