| Jena Nicole Lcsw Pllc | |
|
1522 Magnolia Manor Dr Lot K Gulf Breeze FL 32563-5906 | |
| (850) 631-0431 | |
| Not Available |
| Full Name | Jena Nicole Lcsw Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1522 Magnolia Manor Dr Lot K, Gulf Breeze, Florida |
| Authorized Official Name and Position | Jena Nicole Ingleby (OWNER) |
| Authorized Official Contact | 8506310431 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jena Nicole Lcsw Pllc Po Box 281 Gulf Breeze FL 32562-0281 Ph: () - | Jena Nicole Lcsw Pllc 1522 Magnolia Manor Dr Lot K Gulf Breeze FL 32563-5906 Ph: (850) 631-0431 |
| NPI Number | 1306773320 |
|---|---|
| Provider Enumeration Date | 05/05/2026 |
| Last Update Date | 05/05/2026 |
| Certification Date | 05/05/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306773320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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