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CONCIERGE & VIP COUNSELING LLC NPI 1043671118


NPI Information

NPI: 1043671118
Provider Name: CONCIERGE & VIP COUNSELING LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
7235 BENTLEY RD STE 106
JACKSONVILLE, FL
ZIP 32256
Phone: (904) 413-1379
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CONCIERGE & VIP COUNSELING LLC is a mental health counselor in Jacksonville, FL. CONCIERGE & VIP COUNSELING LLC NPI is 1043671118. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7235 BENTLEY RD STE 106
JACKSONVILLE, FL
ZIP 32256-506
Phone: (904) 413-1379
Fax: (904) 677-7886

The provider's authorized official is Barika Grayson .
The authorized official title is Ceo and has the following contact phone number (904) 413-1379.

The enumeration date for this NPI number is 3/16/2016 and was last updated on 2/20/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorNo
2101YA0400XCounselorAddiction (Substance Use Disorder)No
3101YP2500XCounselorProfessionalNo
4251S00000XCommunity/Behavioral HealthNo
5101YM0800XCounselorMental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1017012800MEDICAIDFLORIDA
2017381300MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.