Fatisha Raynell Holness, - in Jacksonville, FL

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Fatisha Raynell Holness, is a Counselor - Mental Health based in Jacksonville, Florida. Fatisha Raynell Holness is licensed to practice in * (Not Available) (license number ) and her current practice location is 7855 Argyle Forest Blvd Ste 9101706, Jacksonville, Florida. She can be reached at her office (for appointments etc.) via phone at (904) 263-5055.

NPI number for Fatisha Raynell Holness is 1730903360 and her current mailing address is 6645 S State Road 121, Macclenny, Florida. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1730903360.

Contact Information

Fatisha Raynell Holness,
7855 Argyle Forest Blvd Ste 9101706,
Jacksonville, FL 32244-5596
(904) 263-5055
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameFatisha Raynell Holness
GenderFemale
SpecialityCounselor - Mental Health
Location7855 Argyle Forest Blvd Ste 9101706, Jacksonville, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1730903360
  • Provider Enumeration Date: 11/11/2024
  • Last Update Date: 11/11/2024

Medical Identifiers

Medical identifiers for Fatisha Raynell Holness such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730903360NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC1900XPsychologist - Counseling (* (Not Available))Secondary
101YM0800XCounselor - Mental Health (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Fatisha Raynell Holness is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Fatisha Raynell Holness,
6645 S State Road 121,
Macclenny, FL 32063-5439

Ph: (646) 897-4317		Fatisha Raynell Holness,
7855 Argyle Forest Blvd Ste 9101706,
Jacksonville, FL 32244-5596

Ph: (904) 263-5055

Reviews and Comments



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