Southern Baptist Hospital
Psychologist, Counseling in Yulee, FL. Organization (NPI-2).
NPI number1861693632
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1861693632
- Entity type
- Organization (NPI-2)
- Legal business name
- Southern Baptist Hospital
- Organization subpart
- No
- Enumeration date
- May 30, 2007
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC1900X | Psychologist, Counseling | – | FL | Yes |
| 101YM0800X | Counselor, Mental Health | – | FL | |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | FL |
Other names
- Psychiatric And Psychological Care (Doing Business As)
Practice location
96098 Victorias PlSuite 201
Yulee, FL 32097-6349
Phone 904-376-3800 · Fax 904-733-9598
Mailing address
4160 University Blvd SJacksonville, FL 32216-4317
Phone 904-376-3800 · Fax 904-733-9598
Authorized official
Ellen Williams
Director
9043763800
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