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NPI Code Detail

MEDICARE: MS. NANCY ELAINE HUCKER LMHC

MEDICARE: MS. NANCY ELAINE HUCKER 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
1101YM0800XMental Health CounselorMH1945FL

General Provider Information

NPI Number : 1336383983
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. NANCY ELAINE HUCKER LMHC
Provider Business Mailing Address
First Line : PO BOX 748519
Second Line :
City : ATLANTA
State : GA
Zip : 30374-8519
Country : US
Telephone Number : 904-376-3800
Fax Number : 904-376-3998
Provider Business Practice Location Address
First Line : 1301 PALM AVE STE 4A017
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-8457
Country : US
Telephone Number : 904-376-3800
Fax Number : 904-390-7395
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2009
Last Update Date : 01/20/2026

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