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Organization
DISCOVERY MENTAL HEALTH SERVICES
Active
Organization
DISCOVERY MENTAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLY LANE STEVENS LMFT (OWNER)
(904) 294-6277
Entity
Organization
Contact information
Practice address
13453 N MAIN ST STE 104, JACKSONVILLE, FL 32218-2773
(904) 773-4390
(941) 621-7089
Mailing address
13453 N MAIN ST STE 104, JACKSONVILLE, FL 32218-2773
(904) 773-4390
(941) 621-7089
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
363L00000X
Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11501600
—
FL
01
—
OV824
MEDICARE
FL
Enumeration date
04/08/2021
Last updated
03/24/2025
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