Healthcare Provider Details

I. General information

NPI: 1053700831
Provider Name (Legal Business Name): HILARY KATHERINE JEMESON LMFT, LMHC, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/15/2015
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1825 PONCE DE LEON BLVD STE 423
CORAL GABLES FL
33134-4418
US

IV. Provider business mailing address

1825 PONCE DE LEON BLVD STE 423
CORAL GABLES FL
33134-4418
US

V. Phone/Fax

Practice location:
  • Phone: 305-204-1612
  • Fax:
Mailing address:
  • Phone: 305-204-1612
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMF.8104
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberLPC.0016476
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMT3595
License Number StateFL
# 4
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH16550
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: