Organization · Type 2 NPI

Jena Nicole LCSW PLLC

Mental Health Clinic/Center (Including Community Mental Health Center) · Gulf Breeze, FL

NPI number 1306773320 Active

Practice location

1522 Magnolia Manor Dr Lot K
Gulf Breeze, FL 32563-5906

Mailing address

PO Box 281
Gulf Breeze, FL 32562-0281

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1306773320

Jena Nicole LCSW PLLC's National Provider Identifier is 1306773320, issued on May 5, 2026. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Gulf Breeze, FL. The record was last updated on May 5, 2026.