NPI | 1255138962 |
---|---|
Entity Type | Organization |
Authorized Contact | TERRIE ANDREWS CEO 904-803-7599 |
Organization Subpart ? | No |
Primary Taxonomy | 103TH0004X Psychologist, Health |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor, Mental Health | |
103T00000X Psychologist | |
103TC0700X Psychologist, Clinical | |
103TC1900X Psychologist, Counseling | |
103TC2200X Psychologist, Clinical Child & Adolescent | |
103TP2701X Psychologist, Group Psychotherapy | |
104100000X Social Worker | |
1041C0700X Social Worker, Clinical | |
133N00000X Nutritionist | |
133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management | |
171400000X Health & Wellness Coach | |
171M00000X Case Manager/Care Coordinator | |
2084P0800X Psychiatry & Neurology, Psychiatry | |
Enumeration Date | 2025-02-28 |
Last Update Date | 2025-02-28 |