Organization
JENA NICOLE LCSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENA NICOLE INGLEBY LCSW (OWNER)
(850) 631-0431
Entity
Organization
Contact information
Practice address
1522 MAGNOLIA MANOR DR LOT K, GULF BREEZE, FL 32563-5906
(850) 631-0431
Mailing address
PO BOX 281, GULF BREEZE, FL 32562-0281
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/05/2026
Last updated
05/05/2026
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