# NORTH FLORIDA CHILDREN'S MENTAL WELLNESS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southeastern Psychological Services for Children & Adolescents, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538676671
- **Authorized official:** DR. KATHERINE DICKINSON (OWNER)
- **Authorized official phone:** (850) 841-9836

## Contact information

- **Practice address:** 201 BOB WALLACE AVE SW, HUNTSVILLE, AL 35801-3810
- **Practice address phone:** (256) 642-7400
- **Mailing address:** 143 FLAMINGO CT, MONTICELLO, FL 32344-0892
- **Mailing address phone:** (850) 841-9836

## Taxonomy

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

## Other

- **Enumeration date:** 01/10/2018
- **Last updated:** 12/15/2022