FIRST COAST BEHAVIOR SOLUTIONS LLC NPI 1720326382

NPI Information

NPI: 1720326382
Provider Name: FIRST COAST BEHAVIOR SOLUTIONS, LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
2317 BLANDING BLVD STE 102
JACKSONVILLE, FL
ZIP 32210
Phone: (904) 200-7979
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FIRST COAST BEHAVIOR SOLUTIONS, LLC is a mental health counselor in Jacksonville, FL. FIRST COAST BEHAVIOR SOLUTIONS, LLC NPI is 1720326382. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2317 BLANDING BLVD STE 102
JACKSONVILLE, FL
ZIP 32210
Phone: (904) 200-7979
Fax: (904) 387-5890

The provider's authorized official is Kimberly Cruise .
The authorized official title is Owner/ Clinical Director and has the following contact phone number (904) 476-8956.

The enumeration date for this NPI number is 1/16/2013 and was last updated on 9/11/2018.

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	MH-10245	FLORIDA	Yes

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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