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TAMIR SHABAZZ
NPI 1871328344
Counselor - Mental Health in Jacksonville, FL

Active since September 04, 2024
12607 LAKE MADISON LN, JACKSONVILLE, FL 32218(904) 576-5214 Get Directions Write a Review

NPPES record last updated: September 4, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tamir Shabazz NPPES

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

TAMIR SHABAZZ (NPI 1871328344) is an individual mental health provider in Jacksonville, Florida and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1871328344
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameTAMIR SHABAZZ
Location Address12607 LAKE MADISON LNJacksonville, FL 32218-7596
Mailing Address12607 Lake Madison LnJacksonville, FL 32218-7596 · (904) 576-5214
Phone(904) 576-5214
Sole ProprietorNo
Enumeration DateSeptember 4, 2024
NPPES CertifiedSeptember 4, 2024
✔ NPI 1871328344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
12607 LAKE MADISON LN, Jacksonville, FL 32218
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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 Tamir Shabazz's NPI number?

The NPI number for Tamir Shabazz is 1871328344. It was assigned to this individual provider in the NPPES registry on September 4, 2024.

Where is Tamir Shabazz located?

Tamir Shabazz practices at 12607 Lake Madison Ln, Jacksonville, FL 32218. The listed phone number is (904) 576-5214.

What is Tamir Shabazz'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 Tamir Shabazz was last updated on September 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.