DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LISA JEANNE MADDOX

Active

LISA JEANNE MADDOX is a Professional Counselor healthcare provider located in JACKSONVILLE, Florida. NPI 1013632116 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · JACKSONVILLE, FL

Registration Details

NPI Number
1013632116
Provider Type
Individual
Gender
Female
NPI Issued
Oct 11, 2022 (3.8514005740622 yrs)
Last Updated
Oct 27, 2023
Licenses
MH22914 (FL)
MH22914 (FL)

Practice Information

Address
4243 SUNBEAM RD STE 1
JACKSONVILLE, FL, 322578975
Browse FL providers · Browse ZIP 32257
Phone
8552847483
Fax
6178070958
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
Mental Health Counselor
Additional Specialty
Professional Counselor

Other Professional Counselor Providers in JACKSONVILLE, FL

Name Credential NPI
SUSAN E. KURNER LCSW 1801842679
MR. VERLON COY BRICKEY JR. PHD., LMHC, CAP 1518015700
HARRY MACNEILL LMHC 1508907957
DEBRA ANN TROUPE LMHC 1659567709
ANNALIE SEBRIO CELZO LPC 1205145851
MRS. MEESHA PRAKASH HENDERSON LMHC 1992096127
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.