Organization
JILLIAN NAZARENKO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILLIAN NAZARENKO (OWNER)
(484) 222-0067
Entity
Organization
Contact information
Practice address
2430 ESTANCIA BLVD STE 106, CLEARWATER, FL 33761-2607
(484) 222-0067
Mailing address
2430 ESTANCIA BLVD STE 106, CLEARWATER, FL 33761-2607
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/15/2023
Last updated
04/09/2026
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