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

Lvh Fl Telehealth PLLC

Organization Addiction (Substance Use Disorder) Psychologist · NPI 1962096743

Lvh Fl Telehealth PLLC is an Addiction (Substance Use Disorder) Psychologist in Jacksonville, Florida. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1900 Corporate Square Blvd
Jacksonville, FL 32216-1941
Phone: (904) 515-5086
Fax: (866) 541-5354
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Mental Health Clinic/Center (primary) Taxonomy 261QM0850X
Addiction (Substance Use Disorder) Psychologist Taxonomy 103TA0400X
Substance Use Disorder Rehabilitation Clinic/Center Taxonomy 261QR0405X

Record details

NPI number1962096743
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Lasick — Director Of Rcm · (954) 559-1378
NPI enumeratedFebruary 23, 2021
Last updated in NPPESJune 7, 2021
Certification dateJune 7, 2021
Mailing addressPo Box 4458, Dept 841, Houston, TX 77210-4458

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