IndividualActive
Jacquelyn Mentor, ED.D
NPI 1952985160 · Mental Health Counselor · Dover, FL
Provider details
- NPI number
- 1952985160
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- ED.D
- Sex
- Female
- Sole proprietor
- Yes
- License
- MH9344 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
9310 Barrington Oaks Dr
Dover, FL 33527-3758
Phone: (813) 684-2304
Approximate (ZIP-level) locationGet directions
Mailing address
9310 Barrington Oaks Dr
Dover, FL 33527-3758
Registry dates
- Enumerated
- 2021-05-12
- Last updated
- 2021-05-12
- Certified
- 2021-05-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.