Grace Christian Counseling
Community/Behavioral Health in Jacksonville, FL. Organization (NPI-2).
NPI number1154852234
StatusActive
Last updated in NPPESMar 21, 2017
Details
- NPI
- 1154852234
- Entity type
- Organization (NPI-2)
- Legal business name
- Grace Christian Counseling
- Organization subpart
- No
- Enumeration date
- Mar 21, 2017
- Last updated
- Mar 21, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | MH13598 | FL | Yes |
Practice location
6267 Pottsburg Plantation BlvdJacksonville, FL 32216-8954
Phone 904-334-9954
Mailing address
6267 Pottsburg Plantation BlvdJacksonville, FL 32216-8954
Phone 904-334-9954
Authorized official
Dana Bridges
Lmhc
9043349954
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