SOUTHERN BAPTIST HOSPITAL NPI 1255532024

NPI Information

NPI: 1255532024
Provider Name: SOUTHERN BAPTIST HOSPITAL

Doing Business As: PSYCHIATRIC AND PSYCHOLOGICAL CARE

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1325 SAN MARCO BLVD
SUITE 500
JACKSONVILLE, FL
ZIP 32207
Phone: (904) 376-3800
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SOUTHERN BAPTIST HOSPITAL is a mental health counselor in Jacksonville, FL. SOUTHERN BAPTIST HOSPITAL NPI is 1255532024. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Psychiatric And Psychological Care.

The provider's business location address is:

1325 SAN MARCO BLVD
SUITE 500
JACKSONVILLE, FL
ZIP 32207-568
Phone: (904) 376-3800
Fax: (904) 733-9598

The provider's authorized official is Ellen Williams .
The authorized official title is Director and has the following contact phone number (904) 376-3800.

The enumeration date for this NPI number is 5/30/2007 and was last updated on 8/22/2020.

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 State	Primary
1	101YM0800X	Counselor	Mental Health	FLORIDA	Yes
2	103TC1900X	Psychologist	Counseling	FLORIDA	X
3	2084P0800X	Psychiatry & Neurology	Psychiatry	FLORIDA	X

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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