Healthcare Provider Details

I. General information

NPI: 1780503326
Provider Name (Legal Business Name): JENNIFER MORGAN HESSELBIRG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14924 CASEY RD
TAMPA FL
33624-2317
US

IV. Provider business mailing address

4342 OLIN ST
NEW PORT RICHEY FL
34653-7206
US

V. Phone/Fax

Practice location:
  • Phone: 813-402-2002
  • Fax: 813-441-7939
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberIMT4201
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: