Provider Demographics
NPI:1154122265
Name:RIMONDI, BROOKE LEIGH (LMHC)
Entity type:Individual
Prefix:
First Name:BROOKE
Middle Name:LEIGH
Last Name:RIMONDI
Suffix:
Gender:
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 S 15TH ST
Mailing Address - Street 2:
Mailing Address - City:FERNANDINA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32034-3225
Mailing Address - Country:US
Mailing Address - Phone:904-338-3708
Mailing Address - Fax:
Practice Address - Street 1:123 S 15TH ST
Practice Address - Street 2:
Practice Address - City:FERNANDINA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32034-3225
Practice Address - Country:US
Practice Address - Phone:904-338-3708
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH25403.101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health