Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JUSTIN TYLER BOLLINGMO, LMFT
Active Sole ProprietorMarriage & Family Therapist · JACKSONVILLE, FL
Registration Details
- NPI Number
- 1326436981
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 6, 2015 (11.303727136918 yrs)
- Last Updated
- May 13, 2022
- License
-
3292 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1650 PRUDENTIAL DR STE 210JACKSONVILLE, FL, 322078149Browse FL providers · Browse ZIP 32207
- Phone
- 9043763800
- Fax
- 9043964942
- Primary Specialty
-
Marriage & Family Therapist
106H00000X
Other Marriage & Family Therapist Providers in JACKSONVILLE, FL
| Name | Credential | NPI |
|---|---|---|
| MR. DANNY L RANDOLPH | LMFT | 1790787281 |
| JENNIFER L GLOCK | LMFT | 1225019680 |
| MR. CHARLES VAUGHN KEREKES | LMFT, LMHC, CAP | 1740210574 |
| BRETT LOWELL RHODEN | MA | 1770517989 |
| LUANN M EDWARDS | LCSW | 1225051832 |
| MR. ROBERT EDWARD WILDER JR. | M.DIV., M.ED. | 1710999537 |
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.