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:
8130 BAYMEADOWS WAY W
STE 102
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.

The provider's business location address is:

8130 BAYMEADOWS WAY W
STE 102
JACKSONVILLE, FL
ZIP 32256-409
Phone: (904) 413-1379

The provider's authorized official is Barika Grayson .
The authorized official title is Executive Director 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 11/29/2016.

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	Primary
1	261QD1600X	Clinic/Center	Developmental Disabilities	No
2	251S00000X	Community/Behavioral Health		No
3	101Y00000X	Counselor		No
4	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
5	101YP2500X	Counselor	Professional	No
6	101YM0800X	Counselor	Mental Health	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	017381300	MEDICAID	FLORIDA
2	017012800	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: 11/14/2023

NPI Synchronization or Removal

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