MEDICARE: NANCY ANNE ST CLAIRE LMHC, LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MH17930	FL

General Provider Information

NPI Number	:	1245004233
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCY ANNE ST CLAIRE LMHC, LPC

Provider Business Mailing Address
First Line	:	3907 GADSDEN RD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32207-6306
Country	:	US
Telephone Number	:	910-284-9112
Fax Number	:

Provider Business Practice Location Address
First Line	:	1930 SAN MARCO BLVD STE 204
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32207-1200
Country	:	US
Telephone Number	:	904-431-0811
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/09/2023
Last Update Date	:	03/25/2026

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