Healthcare Provider Details

I. General information

NPI: 1801762653
Provider Name (Legal Business Name): LORRIE JOURDEN COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2025
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4375 US HIGHWAY 17 STE 103
FLEMING ISLAND FL
32003-4832
US

IV. Provider business mailing address

12700 BARTRAM PARK BLVD APT 216
JACKSONVILLE FL
32258-5454
US

V. Phone/Fax

Practice location:
  • Phone: 904-269-0886
  • Fax: 904-269-0886
Mailing address:
  • Phone: 904-269-0886
  • Fax: 904-269-0886

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: LORRAINE JO JOURDEN
Title or Position: OWNER
Credential: LMHC
Phone: 512-431-4828