Provider Demographics
NPI:1427733443
Name:SANTIONI, BRENDA TAYLOR (LMHC)
Entity type:Individual
Prefix:MS
First Name:BRENDA
Middle Name:TAYLOR
Last Name:SANTIONI
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 1:2511 SAINT JOHNS BLUFF RD S STE 106
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32246-2344
Mailing Address - Country:US
Mailing Address - Phone:904-647-7377
Mailing Address - Fax:
Practice Address - Street 1:2511 SAINT JOHNS BLUFF RD S STE 106
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32246-2344
Practice Address - Country:US
Practice Address - Phone:904-647-7377
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-19
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH24312101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health