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NPI Code Detail

MEDICARE: DR. JOANNA LEA ALE LMHC, CIC

MEDICARE: DR. JOANNA LEA ALE LMHC, CIC
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
1103K00000XBehavior AnalystMH13635FL
2101YM0800XMental Health CounselorMH13635FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326425315
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOANNA LEA ALE LMHC, CIC
Provider Business Mailing Address
First Line : 1904 FARRAGUT PL
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-3420
Country : US
Telephone Number : 904-503-0131
Fax Number : 732-735-8614
Provider Business Practice Location Address
First Line : 1904 FARRAGUT PL
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-3420
Country : US
Telephone Number : 904-503-0131
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2015
Last Update Date : 07/03/2024

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