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

Lysal Enterprises, Inc

Organization Mental Health Counselor · NPI 1053712125

Lysal Enterprises, Inc is a Mental Health Counselor in Jacksonville, Florida. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7215 Zapata Dr
Jacksonville, FL 32210-4772
Phone: (904) 759-5089
Fax: (904) 573-2610
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Prescribing (Medical) Psychologist Taxonomy 103TP0016X
Primary Care Nurse Practitioner Taxonomy 363LP2300X
Home Health Clinical Nurse Specialist Taxonomy 364SH0200X

Record details

NPI number1053712125
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chanda Moore — Ceo · (904) 759-5089
NPI enumeratedSeptember 9, 2014
Last updated in NPPESSeptember 9, 2014
Mailing address7215 Zapata Dr, Jacksonville, FL 32210-4772

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