Healthcare Provider Details

I. General information

NPI: 1841116951
Provider Name (Legal Business Name): JEFFREY JABICK, LMHC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7376 NW 5TH ST
PLANTATION FL
33317-1605
US

IV. Provider business mailing address

1856 N NOB HILL RD STE 192
PLANTATION FL
33322-6548
US

V. Phone/Fax

Practice location:
  • Phone: 954-540-3174
  • Fax: 954-585-0177
Mailing address:
  • Phone: 954-540-3174
  • Fax: 954-540-3174

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: JEFFREY G JABICK
Title or Position: OWNER
Credential: LMHC
Phone: 954-540-3174