Healthcare Provider Details

I. General information

NPI: 1669838660
Provider Name (Legal Business Name): FERNANDA ORDONEZ LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/06/2016
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6901A N 9TH AVE # 633
PENSACOLA FL
32504-6638
US

IV. Provider business mailing address

9512 GLENN ABBEY WAY
JACKSONVILLE FL
32256-6485
US

V. Phone/Fax

Practice location:
  • Phone: 904-859-7134
  • Fax:
Mailing address:
  • Phone: 904-859-7134
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number9264
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberMH15645
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: