BIOFEEDBACK ASSOCIATES OF NE FL NPI 1235152604

NPI Information

NPI: 1235152604
Provider Name: BIOFEEDBACK ASSOCIATES OF NE FL
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
11512 LAKE MEAD AVE
SUITE 703
JACKSONVILLE, FL
ZIP 32256
Phone: (904) 646-0054
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BIOFEEDBACK ASSOCIATES OF NE FL is a mental health counselor in Jacksonville, FL. BIOFEEDBACK ASSOCIATES OF NE FL NPI is 1235152604. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11512 LAKE MEAD AVE
SUITE 703
JACKSONVILLE, FL
ZIP 32256
Phone: (904) 646-0054
Fax: (904) 646-0930

The provider's authorized official is Annette Marie Tharp-wright .
The authorized official title is Owner/ Counselor and has the following contact phone number (904) 646-0054.

The enumeration date for this NPI number is 7/25/2006 and was last updated on 1/28/2019.

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	MH6843	FLORIDA	Yes
2	101YM0800X	Counselor	Mental Health			No
3	101YM0800X	Counselor	Mental Health	SW1447	FLORIDA	No
4	101YM0800X	Counselor	Mental Health	SW2527	FLORIDA	No
5	101YM0800X	Counselor	Mental Health	MH4616	FLORIDA	No
6	101YM0800X	Counselor	Mental Health	MH5132	FLORIDA	No
7	101YM0800X	Counselor	Mental Health	MH5155	FLORIDA	No
8	101YM0800X	Counselor	Mental Health	MH2969	FLORIDA	No

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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