Doctor Name: | JANE FENBY |
NPI Number: | 1003910431 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | MHC 6107 |
Business Practice Address: | 6014 Us 19 Suite 303 New Port Richey, FL - 34652 |
Business Phone Number: | 7278490688 |
Business Fax Number: | |
Mailing Address: | 17001 Shady Pines Dr, LUTZ |
State: | FL |
Postal Code: | 335486194 |
Phone Number: | 8139498241 |
Fax Number: | 8139497942 |
NPI Enumeration Date: | 09/07/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MHC 6107 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |