MEDICARE: MRS. MELISSA DIANE FENTON L.M.H.C.

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	MH8881	FL

General Provider Information

NPI Number	:	1912099391
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MELISSA DIANE FENTON L.M.H.C.

Provider Business Mailing Address
First Line	:	4475 CATHEYS CLUB LN
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32224-5670
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	13500 SUTTON PARK DR S STE 203
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32224-5291
Country	:	US
Telephone Number	:	904-992-9930
Fax Number	:

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

Provider Enumeration Date	:	09/29/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1043576432 — AMANDA RENEE VARGAS MOT
Practice Location Address:

13500 SUTTON PARK DR S STE 401
JACKSONVILLE, FL
32224-5291

Practice Phone: 954-675-6451
Practice Fax:

1851658538 — JASON SIEGEL MD
Practice Location Address:

13500 SUTTON PARK DR S STE 203
JACKSONVILLE, FL
32224-5291

Practice Phone: 904-544-5350
Practice Fax: 904-533-7239

1710969423 — DR. ROBI E TAMARGO PSYD
Practice Location Address:

13500 SUTTON PARK DR S STE 203
JACKSONVILLE, FL
32224-5291

Practice Phone: 904-834-7138
Practice Fax: 904-834-7139

1881656718 — ELIZABETH MORGAN WALSH M.D.
Practice Location Address:

13500 SUTTON PARK DR S STE 303
JACKSONVILLE, FL
32224-5291

Practice Phone: 904-604-5939
Practice Fax: 904-602-9560

1629110226 — MELISSA D. FENTON, PA
Practice Location Address:

13500 SUTTON PARK DR S STE 203
JACKSONVILLE, FL
32224-5291

Practice Phone: 904-992-9930
Practice Fax:

1104160217 — KAYELA FAYE BORISADE ARNP
Practice Location Address:

13500 SUTTON PARK DRIVE SOUTH , SUITE 403
JACKSONVILLE, FL
32224-5291

Practice Phone: 904-493-3390
Practice Fax: 904-493-3395

Directions to “ MRS. MELISSA DIANE FENTON L.M.H.C.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.