GATEWAY COMMUNITY SERVICES INC. NPI 1356305338

NPI Information

  • NPI: 1356305338
  • Provider Name: GATEWAY COMMUNITY SERVICES, INC.
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • CLIA Number: 10D1037601
  • Address: 555 STOCKTON ST
    JACKSONVILLE, FL
    ZIP 32204
  • Phone: (904) 387-4661

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NPI Details

GATEWAY COMMUNITY SERVICES, INC. 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. GATEWAY COMMUNITY SERVICES, INC. NPI is 1356305338. The provider is registered as an organization entity type.

The provider's business location address is:

555 STOCKTON ST
JACKSONVILLE, FL
ZIP 32204-534
Phone: (904) 387-4661
Fax: (904) 384-5753

The provider's authorized official is Shawanda Holloway .
The authorized official title is Ur/insurance Specialist and has the following contact phone number (904) 387-4661.

The CLIA number assigned to this NPI record is 10D1037601 - other - addiction treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/14/2006 and was last updated on 10/24/2023.

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
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
2324500000XSubstance Abuse Rehabilitation Facility0416AD182816FLORIDANo
3374J00000XDoulaNo
4251S00000XCommunity/Behavioral HealthYes

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
1060594800MEDICAIDFLORIDA

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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