CARMELLA GARDNER NPI 1275998767

NPI Details

CARMELLA GARDNER is a community behavioral health in Jacksonville, FL. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. CARMELLA GARDNER NPI is 1275998767. The provider is registered as an organization entity type.
The provider Is Doing Business As Southside Counseling Center.

The provider's business location address is:

2950 HALCYON LN
SUITE 701
JACKSONVILLE, FL
ZIP 32223-689
Phone: (904) 292-2407
Fax: (904) 292-2409

The provider's authorized official is Carmella C Gardner .
The authorized official title is Owner and has the following contact phone number (904) 292-2497.

The enumeration date for this NPI number is 12/28/2015 and was last updated on 2/11/2016.

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: