MEDICARE: RENEE SLYVIA JONES MS, MHP

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	101YP2500X	Professional Counselor	CMHP100040	FL

General Provider Information

NPI Number	:	1679111934
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RENEE SLYVIA JONES MS, MHP

Provider Business Mailing Address
First Line	:	12147 ROCKFORD ST
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34608-2156
Country	:	US
Telephone Number	:	216-704-2770
Fax Number	:

Provider Business Practice Location Address
First Line	:	5236 COMMERCIAL WAY
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34606-1995
Country	:	US
Telephone Number	:	216-704-2770
Fax Number	:

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

Provider Enumeration Date	:	12/18/2019
Last Update Date	:	09/08/2024

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