Provider Demographics
NPI:1083109185
Name:MESSER, JOSHUA T (CAP, ICADC)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:T
Last Name:MESSER
Suffix:
Gender:M
Credentials:CAP, ICADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14002 COUNTY ROAD 49
Mailing Address - Street 2:
Mailing Address - City:LIVE OAK
Mailing Address - State:FL
Mailing Address - Zip Code:32060-7372
Mailing Address - Country:US
Mailing Address - Phone:386-438-9145
Mailing Address - Fax:
Practice Address - Street 1:1206 SW MAIN BLVD STE 103
Practice Address - Street 2:
Practice Address - City:LAKE CITY
Practice Address - State:FL
Practice Address - Zip Code:32025-6603
Practice Address - Country:US
Practice Address - Phone:386-487-9979
Practice Address - Fax:386-487-9979
Is Sole Proprietor?:No
Enumeration Date:2018-06-30
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No171M00000XOther Service ProvidersCase Manager/Care Coordinator