# BREAKTHROUGH COUNSELING SERVICES OF FLORIDA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215429972
- **Authorized official:** MRS. KIMBERLY ALEXIS GARDNER MA (PRESIDENT)
- **Authorized official phone:** (904) 330-6072

## Contact information

- **Practice address:** 712 SAINT JOHNS AVE, PALATKA, FL 32177-4646
- **Practice address phone:** (904) 330-6072
- **Mailing address:** 9132 JENNIFER BLVD, JACKSONVILLE, FL 32222-1928
- **Mailing address phone:** (904) 330-6072
- **Mailing address fax:** (904) 330-6072

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/30/2018
- **Last updated:** 05/30/2018