ANNA MIRIAM AGATINA WYKE MA NPI 1023674579

NPI Information

NPI: 1023674579
Provider Name: ANNA MIRIAM AGATINA WYKE, MA
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
10151 DEERWOOD PARK BLVD # 200
JACKSONVILLE, FL
ZIP 32256
Phone: (904) 704-2527
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Anna Miriam Agatina Wyke, MA is a mental health counselor in Jacksonville, FL. Anna Miriam Agatina Wyke, MA NPI is 1023674579. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10151 DEERWOOD PARK BLVD # 200
JACKSONVILLE, FL
ZIP 32256-566
Phone: (904) 704-2527

The enumeration date for this NPI number is 5/9/2019 and was last updated on 2/19/2021.

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	MH18808	FLORIDA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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