Most Relevant Information
Provider Data
| NPI Number: | 1003466400 |
| Provider Name: | JENNIFER PIERRE-LYS LMHC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | MH17376 |
Most Important Dates
| Enumeration Date: | 09/17/2019 |
| Last Updated: | 09/17/2019 |
Provider Practice Location
1703 W COLONIAL DR
ORLANDO
FL
328047000
Practice Location Phone/Fax
| Phone: | 4072199304 |
| Fax: |
Provider Mailing Location
3170 S DORCHESTER DR
DELTONA
FL
327382573
Provider Mailing Phone/Fax
| Phone: | 4073532728 |
| Fax: |