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Ms. Kimberly Jayne Mendoza, LMHC
Mental Health Counselor in Cocoa, Florida
NPI 1588315907

Kimberly Jayne Mendoza is a Mental Health Counselor based in Cocoa, FL and is specialized in Mental Health. Kimberly Jayne Mendoza practices in Cocoa, FL and has the professional credentials of LMHC. The NPI Number for Kimberly Jayne Mendoza is 1588315907 and holds a License No. (Florida).

The current practice location address for Kimberly Jayne Mendoza is 1612 Cocoa Bay Blvd, Cocoa, FL and can be reached out via phone at 321-508-4903.

Location: 1612 Cocoa Bay Blvd, Cocoa, FL, 32926-5896
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588315907
Provider Name
Kimberly Jayne Mendoza
Credential
LMHC
Provider Entity Type
Individual
Gender
Female
Address
1612 Cocoa Bay Blvd, Cocoa, FL, 32926-5896
Phone Number
321-508-4903
Fax Number
Provider Enumeration Date
01/18/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1612 Cocoa Bay Blvd
City
Cocoa
State
Florida
Zip
32926-4701
Phone Number
321-508-4903
Fax Number
person
Provider Business Mailing Address Details
Address
1612 Cocoa Bay Blvd
City
Cocoa
State
Florida
Zip
32926-4701
Phone Number
321-508-4903
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
MH16864 (Florida)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MH16864 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
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