# PRISCILLA DIANE COUNSELING LLC

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

## Provider details

- **NPI number:** 1467070359
- **Authorized official:** PRISCILLA MCALLISTER LMHC (CEO)
- **Authorized official phone:** (904) 567-6040

## Contact information

- **Practice address:** 1301 RIVERPLACE BLVD STE 800, JACKSONVILLE, FL 32207-9032
- **Practice address phone:** (904) 567-6040
- **Mailing address:** 1301 RIVERPLACE BLVD STE 800, JACKSONVILLE, FL 32207-9032

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/08/2020
- **Last updated:** 07/08/2020