MEDICARE: KELLY LYNN SHURMAN LMHC

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	101Y00000X	Counselor	IMH6395	FL
2	101YM0800X	Mental Health Counselor	MH10050	FL

General Provider Information

NPI Number	:	1255585857
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELLY LYNN SHURMAN LMHC

Provider Business Mailing Address
First Line	:	PO BOX 748519
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-8519
Country	:	US
Telephone Number	:	904-376-3800
Fax Number	:	904-376-3998

Provider Business Practice Location Address
First Line	:	836 PRUDENTIAL DR STE 1506
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32207-8342
Country	:	US
Telephone Number	:	904-376-3800
Fax Number	:

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

Provider Enumeration Date	:	11/10/2008
Last Update Date	:	05/13/2022

Similar Medicare Providers

1740655018 — DORIE ELIZABETH HANSON LMHC
Practice Location Address:

836 PRUDENTIAL DR STE 1507
JACKSONVILLE, FL
32207-8342

Practice Phone: 904-376-3800
Practice Fax: 904-376-3998

1982301784 — AMANDA LUCINDA GLYNN DNP, APRN, PMHNP-BC
Practice Location Address:

836 PRUDENTIAL DR STE 1507
JACKSONVILLE, FL
32207-8342

Practice Phone: 904-376-3800
Practice Fax:

1194482489 — HIDI LEIGH MCCHESNEY MOODY APRN
Practice Location Address:

836 PRUDENTIAL DR STE 1507
JACKSONVILLE, FL
32207-8342

Practice Phone: 904-376-3800
Practice Fax: 904-390-7398

1770355430 — ALLISON NICOLE FENDLEY LMHC
Practice Location Address:

836 PRUDENTIAL DR STE 1507
JACKSONVILLE, FL
32207-8342

Practice Phone: 904-376-3800
Practice Fax: 904-390-7398

1568513992 — DR. JOSEPH JOHN SESTA PH.D., M.P.
Practice Location Address:

836 PRUDENTIAL DR STE 1506
JACKSONVILLE, FL
32207-8342

Practice Phone: 904-376-3800
Practice Fax:

1285778423 — KAREN SNIPES MCNEELY ARNP
Practice Location Address:

836 PRUDENTIAL DR STE 1506
JACKSONVILLE, FL
32207-8342

Practice Phone: 904-376-3800
Practice Fax: 904-202-2436

Directions to “ KELLY LYNN SHURMAN LMHC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.