CRAFT BEHAVIORAL HEALTH LLC NPI 1639491632

NPI Information

  • NPI: 1639491632
  • Provider Name: CRAFT BEHAVIORAL HEALTH, LLC
  • Classification: Psychiatry & Neurology - 2084P0800X
  • Specialization: Psychiatry
  • Entity Type: Organization
  • CLIA Number: 10D2090068
  • Address: 10175 FORTUNE PKWY
    SUITE #1106
    JACKSONVILLE, FL
    ZIP 32256
  • Phone: (904) 379-5928

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NPI Details

CRAFT BEHAVIORAL HEALTH, LLC is a psychiatry psychiatry neurology in Jacksonville, FL. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. CRAFT BEHAVIORAL HEALTH, LLC NPI is 1639491632. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10175 FORTUNE PKWY
SUITE #1106
JACKSONVILLE, FL
ZIP 32256-746
Phone: (904) 379-5928
Fax: (904) 379-5967

The provider's authorized official is Mohammad Farooque .
The authorized official title is President and has the following contact phone number (904) 379-5928.

The CLIA number assigned to this NPI record is 10D2090068 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/18/2010 and was last updated on 7/21/2011.

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
12084P0800XPsychiatry & NeurologyPsychiatryYes

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
11455POTHERFLORIDABC/BS OF FL

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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