Provider Demographics
NPI:1588779268
Name:TOMMASI, JESSICA LEIGH (EDD, LMHC)
Entity type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:LEIGH
Last Name:TOMMASI
Suffix:
Gender:F
Credentials:EDD, LMHC
Other - Prefix:DR
Other - First Name:JESSICA
Other - Middle Name:LEIGH
Other - Last Name:HOLLANDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:EDD, LMHC
Mailing Address - Street 1:27524 CASHFORD CIRCLE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544
Mailing Address - Country:US
Mailing Address - Phone:888-636-1306
Mailing Address - Fax:813-909-0051
Practice Address - Street 1:27524 CASHFORD CIRCLE
Practice Address - Street 2:SUITE 102
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544
Practice Address - Country:US
Practice Address - Phone:888-636-1306
Practice Address - Fax:813-909-0051
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-20
Last Update Date:2020-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH8137101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ076UOtherBLUE CROSS BLUE SHIELD