| NPI | 1033902739 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JACQUELINE MEREDITH LMHC LLC Professional Counselor 904-307-5906 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health | 
| Additional Taxonomies | 101YP2500X Counselor, Professional | 
| Enumeration Date | 2025-05-26 | 
| Last Update Date | 2025-05-26 |