Provider Demographics
| NPI: | 1245841253 |
|---|---|
| Name: | JESSICA & MICHAEL COUNSELING AND CONSULTING LLC |
| Entity type: | Organization |
| Organization Name: | JESSICA & MICHAEL COUNSELING AND CONSULTING LLC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | OWNER |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | JESSICA |
| Authorized Official - Middle Name: | L |
| Authorized Official - Last Name: | TURNER |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | LMHC |
| Authorized Official - Phone: | 813-530-8175 |
| Mailing Address - Street 1: | 4371 LYNX PAW TRL |
| Mailing Address - Street 2: | |
| Mailing Address - City: | VALRICO |
| Mailing Address - State: | FL |
| Mailing Address - Zip Code: | 33596-7426 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 813-657-2100 |
| Mailing Address - Fax: | 813-354-2422 |
| Practice Address - Street 1: | 4371 LYNX PAW TRL |
| Practice Address - Street 2: | |
| Practice Address - City: | VALRICO |
| Practice Address - State: | FL |
| Practice Address - Zip Code: | 33596-7426 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 813-657-2100 |
| Practice Address - Fax: | 813-354-2422 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2020-08-13 |
| Last Update Date: | 2025-08-28 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health | Group - Single Specialty |