# TRIAD COUNSELING, INC

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

## Provider details

- **NPI number:** 1538391156
- **Authorized official:** MISS NATALIE MARIE KOVISH LMHC (PRESIDENT)
- **Authorized official phone:** (904) 374-0728

## Contact information

- **Practice address:** 4570 SAINT JOHNS AVE, JACKSONVILLE, FL 32210-1848
- **Practice address phone:** (904) 389-4009
- **Practice address fax:** (904) 389-1189
- **Mailing address:** 3954 SIERRA MADRE DR S, JACKSONVILLE, FL 32217-4018
- **Mailing address phone:** (904) 374-0728

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | MH 5176 | FL | Yes |

## Other

- **Enumeration date:** 08/15/2009
- **Last updated:** 08/15/2009