SOUTHSIDE COUNSELING BIOFEEDBACK & STRESS MANAGEMENT CENTER INC NPI 1760932529

NPI Information

NPI: 1760932529
Provider Name: SOUTHSIDE COUNSELING BIOFEEDBACK & STRESS MANAGEMENT CENTER, INC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
4943 BEACH BLVD
JACKSONVILLE, FL
ZIP 32207
Phone: (904) 396-9144
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SOUTHSIDE COUNSELING BIOFEEDBACK & STRESS MANAGEMENT CENTER, INC is a mental health counselor in Jacksonville, FL. SOUTHSIDE COUNSELING BIOFEEDBACK & STRESS MANAGEMENT CENTER, INC NPI is 1760932529. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4943 BEACH BLVD
JACKSONVILLE, FL
ZIP 32207-802
Phone: (904) 396-9144

The provider's authorized official is Theresa G. Stanford .
The authorized official title is Chief Executive and has the following contact phone number (904) 396-9144.

The enumeration date for this NPI number is 10/5/2016 and was last updated on 10/5/2016.

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 1539	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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