Jannedra Ebanks | Brandon, FL • PECOS Search

Jannedra Ebanks

Counselor

Behavioral Health & Social Service Providers

1219 Millennium Pkwy Ste 122, Brandon, FL 33511-3891

(813) 812-9246 (813) 956-3434

PECOS Enrollment

Based on the most recent information from CMS, provider Jannedra Ebanks does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 11:06 AM.

Profile Details

Provider ID
1265809115
Provider Type
Individual
Full Name
Ebanks, Jannedra
Credential
LMHC

Gender
Female
Sole Proprietor
No
Enumeration Date
8/26/2015
Last Updated
2/17/2023

Contact Information

Practice Location

1219 Millennium Pkwy Ste 122, Brandon, FL 33511-3891

Unlisted Fax

Mailing Location

2430 Sagemont Dr, Brandon, FL 33511-1744

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License MH15540 Florida