Healthcare Provider Details

I. General information

NPI: 1336056720
Provider Name (Legal Business Name): JAYNA RACE, LMHC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

129 JACOBS LANDING CT
DELAND FL
32724-2217
US

IV. Provider business mailing address

129 JACOBS LANDING CT
DELAND FL
32724-2217
US

V. Phone/Fax

Practice location:
  • Phone: 407-558-0093
  • Fax:
Mailing address:
  • Phone: 407-558-0093
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: JAYNA RACE
Title or Position: OWNER/ MENTAL HEALTH COUNSELOR
Credential: LMHC
Phone: 407-558-0093