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

Tia Denise Womack

Individual provider Counselor · NPI 1073110508

Tia Denise Womack is a Counselor in Jacksonville, Florida. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

2392 Edgewood Ave N
Jacksonville, FL 32254-1725
Phone: (904) 781-7797
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1073110508
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 7, 2020
Last updated in NPPESOctober 7, 2020
Certification dateOctober 7, 2020

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