PHILLIP TAVADA BA NPI 1871260430

NPI Information

NPI: 1871260430
Provider Name: PHILLIP TAVADA, BA
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
3890 DUNN AVE STE 1104
JACKSONVILLE, FL
ZIP 32218
Phone: (904) 765-0665
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Phillip Tavada, BA is a mental health counselor in Jacksonville, FL. Phillip Tavada, BA NPI is 1871260430. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3890 DUNN AVE STE 1104
JACKSONVILLE, FL
ZIP 32218-432
Phone: (904) 765-0665

The enumeration date for this NPI number is 8/23/2021 and was last updated on 8/23/2021.

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

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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