THERAPEUTIC CONSULTING ASSOCIATES LLC NPI 1558761841

NPI Information

NPI: 1558761841
Provider Name: THERAPEUTIC CONSULTING ASSOCIATES, LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1912 HAMILTON ST
SUITE #103
JACKSONVILLE, FL
ZIP 32210
Phone: (904) 729-2719
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THERAPEUTIC CONSULTING ASSOCIATES, LLC is a mental health counselor in Jacksonville, FL. THERAPEUTIC CONSULTING ASSOCIATES, LLC NPI is 1558761841. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1912 HAMILTON ST
SUITE #103
JACKSONVILLE, FL
ZIP 32210-076
Phone: (904) 729-2719
Fax: (904) 485-8887

The provider's authorized official is Angela Lynn Hainsworth .
The authorized official title is Ra and has the following contact phone number (904) 729-2719.

The enumeration date for this NPI number is 8/25/2014 and was last updated on 8/25/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	MH10995	FLORIDA	No
2	101YM0800X	Counselor	Mental Health	MH10676	FLORIDA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	008141000	MEDICAID	FLORIDA

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

NPI Synchronization or Removal

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