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

Southeastern Integrated Medical Pl

Organization Mental Health Counselor · NPI 1093970162

Southeastern Integrated Medical Pl is a Mental Health Counselor in Gainesville, Florida. Licensed in Florida. Registered with an NPI since 2008.

Licensed in
FL
In the registry since
2008

Practice location Address checks out

4881 NW 8th Ave Ste 2
Gainesville, FL 32605-4582
Phone: (352) 224-2486
Fax: (352) 331-6550
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence PY6591 (FL)

Record details

NPI number1093970162
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSoutheastern Integrated Medical Pl
Authorized official Jesse Brannen — Chief Operating Officer · (352) 224-2200
NPI enumeratedJuly 28, 2008
Last updated in NPPESJuly 28, 2008
Mailing address4881 Nw 8th Ave, Suite 2, Gainesville, FL 32605-4582

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