Healthcare Provider Details

I. General information

NPI: 1396600466
Provider Name (Legal Business Name): CASEY JEAN KURZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 JUPITER LAKES BLVD BLDG 3000
JUPITER FL
33458-7191
US

IV. Provider business mailing address

210 JUPITER LAKES BLVD BLDG 3000
JUPITER FL
33458-7191
US

V. Phone/Fax

Practice location:
  • Phone: 561-677-4353
  • Fax: 561-658-0882
Mailing address:
  • Phone: 561-677-4353
  • Fax: 561-658-0882

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:
Title or Position:
Credential:
Phone: