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

Provenzano Counseling Services

Organization Counselor · NPI 1487167227

Provenzano Counseling Services is a Counselor in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2017.

Licensed in
FL
In the registry since
2017

Practice location Address checks out

13400 Sutton Park Dr S Ste 1504
Jacksonville, FL 32224-0237
Phone: (904) 568-5826
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence MH9038 (FL)

Record details

NPI number1487167227
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Liza Provenzano — Owner/Counselor · (904) 568-5826
NPI enumeratedNovember 15, 2017
Last updated in NPPESNovember 15, 2017
Mailing address912 Collinswood Dr W, Jacksonville, FL 32225-0861

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