HEALING EDUCATIONAL ALTERNATIVES FOR DESERVING STUDENTS NPI 1437550266

NPI Information

HEALING EDUCATIONAL ALTERNATIVES FOR DESERVING STUDENTS is a mental health counselor in Jacksonville, FL. HEALING EDUCATIONAL ALTERNATIVES FOR DESERVING STUDENTS NPI is 1437550266. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Heads.

The provider's business location address is:

50 N LAURA ST
SUITE 2500
JACKSONVILLE, FL
ZIP 32202-664
Phone: (813) 754-5555
Fax: (813) 754-5552

The provider's authorized official is Edward A Waller .
The authorized official title is Coo and has the following contact phone number (813) 754-5555.

The enumeration date for this NPI number is 9/11/2014 and was last updated on 9/11/2014.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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