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NPI Code Detail

MEDICARE: TSI HEALTH, LLC

MEDICARE: TSI HEALTH, LLC
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
1101YM0800XMental Health CounselorMH13635FL
2103K00000XBehavior Analyst1-06-3134FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548757693
Entity Type Code : Organization
Provider Name (Legal Business Name) : TSI HEALTH, LLC
Provider Business Mailing Address
First Line : 5633 CLIFTON AVE
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32211
Country : US
Telephone Number : 904-503-0131
Fax Number : 636-600-2012
Provider Business Practice Location Address
First Line : 1904 FARRAGUT PL
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-3420
Country : US
Telephone Number : 904-503-0131
Fax Number : 636-600-2012
Authorized Official
Title or Position : CEO / OWNER
Name : DR. JOANNA LEA ALE
Credential : EDD, LMHC, NCC, CIC
Telephone Number : 904-503-0131
Provider Enumeration Date : 04/15/2018
Last Update Date : 03/02/2022

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Directions to “TSI HEALTH, LLC ” Practice Location

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