Healthcare Provider Details
I. General information
NPI: 1285402032
Provider Name (Legal Business Name): DJSAV ENTERPRISES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/12/2023
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
17917 WOODCREST WAY
CLERMONT FL
34714-5907
US
IV. Provider business mailing address
17917 WOODCREST WAY
CLERMONT FL
34714-5907
US
V. Phone/Fax
- Phone: 864-525-3624
- Fax: 864-263-3230
- Phone: 864-525-3624
- Fax: 864-263-3230
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOANNE
MARIE
MASTERS
Title or Position: LPC/LMHC
Credential:
Phone: 864-525-3624