Gentry, Jessica Lea
Gentry, Jessica Lea is an sole proprietor health care provider with primary practice located at 7111 S Desoto St Ste A , Tampa FL 33616-2103. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Gentry, Jessica Lea can be contacted via phone (512) 461-3834.Contact Information
Primary practice address
7111 S Desoto St Ste A
Tampa FL 33616-2103
Phone: (512) 461-3834
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 69489 | Texas |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 21122 | Florida |
Profile Details
| NPI number | 1215289202 |
|---|---|
| LBN Legal business name | Gentry, Jessica Lea |
| Credentials | LPC, LMHC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 15th, 2012 |
| Last updated | Aug 22nd, 2022 - about 4 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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