Healthcare Provider Details

I. General information

NPI: 1134627847
Provider Name (Legal Business Name): CARDELIA DISCHERT LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/28/2018
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 MARSH LANDING PKWY STE 112
JACKSONVILLE BEACH FL
32250-2407
US

IV. Provider business mailing address

1300 MARSH LANDING PKWY STE 112
JACKSONVILLE FL
32250-2407
US

V. Phone/Fax

Practice location:
  • Phone: 904-456-0002
  • Fax: 833-449-5214
Mailing address:
  • Phone: 904-321-9117
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH14891
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: