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Organization
MY JOURNEY, LLC
Active
Organization
MY JOURNEY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
O'NEIL RICHARDS LCSW (OWNER)
(718) 916-5421
Entity
Organization
Contact information
Practice address
13453 N MAIN ST STE 204, JACKSONVILLE, FL 32218-2773
(718) 916-5421
Mailing address
8420 COUNTRY BEND CIR E, JACKSONVILLE, FL 32244-7416
(718) 916-5421
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020326900
—
FL
Enumeration date
10/16/2020
Last updated
10/26/2020
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