MEDICARE: MR. STEVEN MONTESINOS MA, LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MH10873	FL

General Provider Information

NPI Number	:	1174809560
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. STEVEN MONTESINOS MA, LMHC

Provider Business Mailing Address
First Line	:	7545 CENTURION PKWY STE 106
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-4118
Country	:	US
Telephone Number	:	904-701-4662
Fax Number	:

Provider Business Practice Location Address
First Line	:	4720 SALISBURY RD STE 242
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-6101
Country	:	US
Telephone Number	:	904-701-4662
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/29/2011
Last Update Date	:	02/04/2026

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