Healthcare Provider Details

I. General information

NPI: 1164339081
Provider Name (Legal Business Name): JESSICA SHULER LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 SE FEDERAL HWY STE 334
STUART FL
34994-3839
US

IV. Provider business mailing address

1380 SW IMPORT DR STE 205
PORT ST LUCIE FL
34953-2424
US

V. Phone/Fax

Practice location:
  • Phone: 772-210-7554
  • Fax: 772-210-7559
Mailing address:
  • Phone: 772-210-7554
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH28442
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: