| NPI | 1588474647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY RESPESS Owner 904-228-2911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YP2500X Counselor, Professional | |
| 103T00000X Psychologist | |
| 163WP0808X Registered Nurse, Psych/Mental Health | |
| 170300000X Genetic Counselor, MS | |
| 171M00000X Case Manager/Care Coordinator | |
| 1835P1300X Pharmacist, Psychiatric | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 251B00000X Case Management | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 363L00000X Nurse Practitioner | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health | |
| Enumeration Date | 2025-01-10 |
| Last Update Date | 2025-01-10 |