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Organization
HOPE HAVEN ASSOCIATION INC.
Active
Organization
HOPE HAVEN ASSOCIATION INC.
Active
Other names
Hope Haven
Organization subpart
No
Provider details
NPI number
Authorized official
STELLA JOHNSON (CHIEF EXECUTIVE OFFICE)
(904) 346-5100
Entity
Organization
Contact information
Practice address
4600 BEACH BLVD., JACKSONVILLE, FL 32207
(904) 346-5100
(904) 346-5111
Mailing address
4600 BEACH BLVD., JACKSONVILLE, FL 32207
(904) 346-5100
(904) 346-5111
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103T00000X
Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060135700
—
FL
05
—
887343700
—
FL
Enumeration date
07/10/2006
Last updated
08/09/2021
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