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

Fatisha Raynell Holness

Individual provider Mental Health Counselor · NPI 1730903360

Fatisha Raynell Holness is a Mental Health Counselor in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2024.

Licensed in
FL
In the registry since
2024

Practice location Address checks out

4070 Herschel St Ste 11706
Jacksonville, FL 32210-2266
Phone: (904) 567-0813
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 IMH27455 (FL)

Record details

NPI number1730903360
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 11, 2024
Last updated in NPPESMay 28, 2025
Certification dateMay 28, 2025

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