Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Emdr Trauma Therapy Center LLC

Organization Mental Health Counselor · NPI 1407474943

Emdr Trauma Therapy Center LLC is a Mental Health Counselor in Fleming Island, Florida. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
6
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4609 US Highway 17 Ste 1
Fleming Island, FL 32003-4818
Phone: (904) 375-2353
Fax: (904) 375-2349
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X
Mental Health Counselor Taxonomy 101YM0800X
Professional Counselor Taxonomy 101YP2500X
Clinical Social Worker Taxonomy 1041C0700X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X

Record details

NPI number1407474943
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeannie Mitchell — Principle/Owner · (904) 375-2353
NPI enumeratedJuly 10, 2020
Last updated in NPPESJanuary 26, 2026
Certification dateJanuary 26, 2026
Mailing address4609 Us Highway 17 Ste 1, Fleming Island, FL 32003-4818

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