Liza Provenzano, LMHC

NPI 1427203736 · on the registry since 2008 · sole proprietor

Practice

Address: 13400 Sutton Park Dr S
Suite 1504
Jacksonville, FL 32224
Phone: (904) 568-5826
Organisation at this address: Jason Manuel Pa
Susan N Young Inc
Joy Blessing Care Llc
Acupuncture By Andrea, Llc
Healing Hearts Therapy Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 13

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2015-07-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida