Provider Demographics
NPI:1306511001
Name:SINGH, JUDE W (LMHC)
Entity type:Individual
Prefix:
First Name:JUDE
Middle Name:W
Last Name:SINGH
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 TIMBERLACHEN CIR STE 1013
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-3303
Mailing Address - Country:US
Mailing Address - Phone:386-222-2964
Mailing Address - Fax:321-999-9029
Practice Address - Street 1:115 TIMBERLACHEN CIR STE 1013
Practice Address - Street 2:
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-3303
Practice Address - Country:US
Practice Address - Phone:386-222-2964
Practice Address - Fax:321-999-9029
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-13
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
FLMH19251101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty