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

Mr. Justin Tyler Bollingmo, LMFT

Individual provider Marriage & Family Therapist · NPI 1326436981

Mr. Justin Tyler Bollingmo, LMFT is a Marriage & Family Therapist in Jacksonville, Florida. Practices as a sole proprietor and works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2015
What do these letters mean?
LMFT — Licensed Marriage and Family Therapist
A therapist licensed to treat couples and families.

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Practice location Address checks out

1650 Prudential Dr Ste 210
Jacksonville, FL 32207-8149
Phone: (904) 376-3800
Fax: (904) 396-4942
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 929 Peninsular Pl, Jacksonville, FL 32204-2828 — (904) 376-3800

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 3292 (FL)

Record details

NPI number1326436981
Entity typeIndividual (Type 1)
GenderMale
Credentials LMFT
Sole proprietorYes
NPI enumeratedJanuary 6, 2015
Last updated in NPPESMay 13, 2022
Certification dateApril 20, 2022

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