Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
EVENTIDE THERAPY
Active
Organization
EVENTIDE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNINE HANEY-FRYBERGER LMHC (SOLE PROPRIETOR)
(321) 408-4213
Entity
Organization
Contact information
Practice address
1000 ORANGE WOODS BLVD, ROCKLEDGE, FL 32955-4309
(321) 408-4213
Mailing address
PO BOX 560203, ROCKLEDGE, FL 32956-0203
(321) 408-4213
(321) 404-0131
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/11/2026
Last updated
09/10/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up