Healthcare Provider Details

I. General information

NPI: 1013871979
Provider Name (Legal Business Name): JAMI LYNN MARIE RIEFFEL LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2961 PLACIDA RD STE 7
ENGLEWOOD FL
34224-8525
US

IV. Provider business mailing address

24151 BEATRIX BLVD UNIT 621
PORT CHARLOTTE FL
33954-3847
US

V. Phone/Fax

Practice location:
  • Phone: 943-300-5056
  • Fax:
Mailing address:
  • Phone: 943-300-5056
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFT002255
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: