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

Tasha Brundge

Individual provider Mental Health Counselor · NPI 1417324021

Tasha Brundge is a Mental Health Counselor in Jacksonville, Florida. Practices as a sole proprietor. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

2392 Edgewood Ave N
Jacksonville, FL 32254-1725
Phone: (904) 781-7797
Fax: (904) 854-0506
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1417324021
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 31, 2015
Last updated in NPPESAugust 31, 2015

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