HEALING BAR NPI 1689279721

NPI Information

NPI: 1689279721
Provider Name: HEALING BAR
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
6050 WINDING BRIDGE DR
JACKSONVILLE, FL
ZIP 32277
Phone: (904) 323-1146
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HEALING BAR is a mental health counselor in Jacksonville, FL. HEALING BAR NPI is 1689279721. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6050 WINDING BRIDGE DR
JACKSONVILLE, FL
ZIP 32277-441
Phone: (904) 323-1146

The provider's authorized official is Sinadia Elilse Gailyard .
The authorized official title is Owner and has the following contact phone number (904) 608-0013.

The enumeration date for this NPI number is 12/4/2020 and was last updated on 12/4/2020.

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 Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

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
1	102318100	MEDICAID	FLORIDA

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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