MEDICARE: MS. JENNIFER FAWN LAMBO COOMES 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	MH19669	FL

General Provider Information

NPI Number	:	1316130461
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JENNIFER FAWN LAMBO COOMES LMHC

Provider Business Mailing Address
First Line	:	3402 N LECANTO HWY STE AB
Second Line	:
City	:	BEVERLY HILLS
State	:	FL
Zip	:	34465-3570
Country	:	US
Telephone Number	:	352-423-3127
Fax Number	:	352-270-8311

Provider Business Practice Location Address
First Line	:	3402 N LECANTO HWY
Second Line	:
City	:	BEVERLY HILLS
State	:	FL
Zip	:	34465-3570
Country	:	US
Telephone Number	:	352-270-8310
Fax Number	:	352-270-8311

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

Provider Enumeration Date	:	08/22/2007
Last Update Date	:	11/17/2025

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