SOUTHERN BAPTIST HOSPITAL NPI 1831390616

NPI Information

  • NPI: 1831390616
  • Provider Name: SOUTHERN BAPTIST HOSPITAL
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Doing Business As: PSYCHIATRIC AND PSYCHOLOGICAL CARE
  • Address: 900 BEACH BLVD
    SUITE 930
    JACKSONVILLE BEACH, FL
    ZIP 32250
  • Phone: (904) 376-3800

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NPI Details

SOUTHERN BAPTIST HOSPITAL is a mental health counselor in Jacksonville Beach, FL. SOUTHERN BAPTIST HOSPITAL NPI is 1831390616. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Psychiatric And Psychological Care.

The provider's business location address is:

900 BEACH BLVD
SUITE 930
JACKSONVILLE BEACH, FL
ZIP 32250-368
Phone: (904) 376-3800
Fax: (904) 733-9598

The provider's authorized official is Ellen Williams .
The authorized official title is Director and has the following contact phone number (904) 376-3800.

The enumeration date for this NPI number is 5/30/2007 and was last updated on 8/22/2020.

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
1101YM0800XCounselorMental HealthFLORIDAYes
2103TC1900XPsychologistCounselingFLORIDAX
32084P0800XPsychiatry & NeurologyPsychiatryFLORIDAX

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: 3/30/2025

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