Healthcare Provider Details

I. General information

NPI: 1558257832
Provider Name (Legal Business Name): NAME IT & CLAIM IT ENTERPRISE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2025
Last Update Date: 06/14/2025
Certification Date: 06/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 572
PORT RICHEY FL
34673-0572
US

IV. Provider business mailing address

PO BOX 572
PORT RICHEY FL
34673-0572
US

V. Phone/Fax

Practice location:
  • Phone: 877-255-4955
  • Fax:
Mailing address:
  • Phone: 877-255-4955
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: JENELLA JENESE BROWN
Title or Position: OWNER/ADMINISTRATOR
Credential: MCAP, RMHCI
Phone: 877-255-4955