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

Mrs. Tracy Aidan Bohannon, MED

Individual provider Mental Health Counselor · NPI 1023207453

Mrs. Tracy Aidan Bohannon, MED is a Mental Health Counselor in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.

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Practice location Address checks out

9210 Cypress Green Dr
Jacksonville, FL 32256-7772
Phone: (904) 206-8405
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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 · Licence MH23300 (FL)

Record details

NPI number1023207453
Entity typeIndividual (Type 1)
GenderFemale
Credentials MED
Sole proprietorNo
NPI enumeratedOctober 22, 2007
Last updated in NPPESJuly 7, 2026
Certification dateJuly 7, 2026

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