AMPLIFY THERAPEUTIC SERVICES LLC NPI 1053218941

NPI Information

  • NPI: 1053218941
  • Provider Name: AMPLIFY THERAPEUTIC SERVICES LLC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • :
  • Address: 9210 CYPRESS GREEN DR
    JACKSONVILLE, FL
    ZIP 32256
  • Phone: (904) 257-6834

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NPI Details

AMPLIFY THERAPEUTIC SERVICES LLC is a mental health counselor in Jacksonville, FL. AMPLIFY THERAPEUTIC SERVICES LLC NPI is 1053218941. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

9210 CYPRESS GREEN DR
JACKSONVILLE, FL
ZIP 32256-772
Phone: (904) 257-6834
Fax: (904) 212-2445

The provider's authorized official is Aaron Percoco .
The authorized official title is Owner and has the following contact phone number (904) 257-6834.

The enumeration date for this NPI number is 10/22/2026 and was last updated on 10/22/2026.

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
1101YM0800XCounselorMental HealthYes

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: 11/21/2025

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