Jonita Jacobs | Brandon, FL • PECOS Search

Jonita Jacobs

Counselor

Behavioral Health & Social Service Providers

126 Lithia Pinecrest Rd, Brandon, FL 33511-5347

PECOS Enrollment

Based on the most recent information from CMS, provider Jonita Jacobs 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
1881182343
Provider Type
Individual
Full Name
Jacobs, Jonita
Credential
LMHC

Gender
Female
Sole Proprietor
Yes
Enumeration Date
4/30/2018
Last Updated
8/20/2020

Contact Information

Practice Location

126 Lithia Pinecrest Rd, Brandon, FL 33511-5347

Unlisted Fax

Mailing Location

126 Lithia Pinecrest Rd, Brandon, FL 33511-5347

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License MH18188 Florida