Healthcare Provider Details

I. General information

NPI: 1649899022
Provider Name (Legal Business Name): JENNIFER WELSH MS, LMHC, CEAP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2020
Last Update Date: 01/10/2026
Certification Date: 01/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

446 N DILLARD ST STE 4
WINTER GARDEN FL
34787-2861
US

IV. Provider business mailing address

446 N DILLARD ST STE 4
WINTER GARDEN FL
34787-2861
US

V. Phone/Fax

Practice location:
  • Phone: 352-552-3479
  • Fax:
Mailing address:
  • Phone: 352-552-3479
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number19474
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: