Burke, Jennifer Lynne

Burke, Jennifer Lynne is an individual health care provider with primary practice located at 2750 Bahia Vista St Suite 180, Sarasota FL 34239-2600. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Burke, Jennifer Lynne can be contacted via phone (941) 308-2936.

Contact Information

Primary practice address
2750 Bahia Vista St Suite 180 Sarasota FL 34239-2600
Phone: (941) 308-2936
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CAP2810 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH6326 Florida

Profile Details

NPI number 1114070620
LBN Legal business name Burke, Jennifer Lynne
Credentials LMHC CAP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114070620 NPPES
Florida MEDICAID 7678070

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