MEDICARE: JEFFREY JABICK, LMHC, LLC

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

General Provider Information

NPI Number	:	1841116951
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JEFFREY JABICK, LMHC, LLC

Provider Business Mailing Address
First Line	:	1856 N NOB HILL RD STE 192
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33322-6548
Country	:	US
Telephone Number	:	954-540-3174
Fax Number	:	954-540-3174

Provider Business Practice Location Address
First Line	:	7376 NW 5TH ST
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33317-1605
Country	:	US
Telephone Number	:	954-540-3174
Fax Number	:	954-585-0177

Authorized Official
Title or Position	:	OWNER
Name	:	JEFFREY G JABICK
Credential	:	LMHC
Telephone Number	:	954-540-3174

Provider Enumeration Date	:	06/24/2026
Last Update Date	:	06/24/2026

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