Provider Demographics
NPI:1851811517
Name:SWEENEY, JESSICA H (MA, LMHC, NCC)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:H
Last Name:SWEENEY
Suffix:
Gender:F
Credentials:MA, LMHC, NCC
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:M
Other - Last Name:HUERTA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LMHC, NCC
Mailing Address - Street 1:1038 SE OCEAN BLVD STE C
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34996-2599
Mailing Address - Country:US
Mailing Address - Phone:772-774-7596
Mailing Address - Fax:772-264-3838
Practice Address - Street 1:1038 SE OCEAN BLVD STE C
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34996-2599
Practice Address - Country:US
Practice Address - Phone:772-774-7596
Practice Address - Fax:772-264-3838
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-23
Last Update Date:2021-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH14806101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health