Healthcare Provider Details

I. General information

NPI: 1376816637
Provider Name (Legal Business Name): JEAN-COLT BELIZAIRE CAP, LMHC, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/17/2012
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8986 HAWKEYE CIR
JACKSONVILLE FL
32221-8089
US

IV. Provider business mailing address

PO BOX 60012
JACKSONVILLE FL
32236-0012
US

V. Phone/Fax

Practice location:
  • Phone: 904-294-7385
  • Fax:
Mailing address:
  • Phone: 904-294-7385
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberMH11087
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH11087
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: