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Organization
SOUTHERN BAPTIST HOSPITAL
Active
Organization
SOUTHERN BAPTIST HOSPITAL
Active
Other names
Psychiatric and Psychological Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLEN WILLIAMS PHD (DIRECTOR)
(904) 376-3800
Entity
Organization
Contact information
Practice address
1279 KINGSLEY AVE, SUITE 117, ORANGE PARK, FL 32073-4603
(904) 376-3800
(904) 733-9598
Mailing address
4160 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4317
(904) 376-3800
(904) 733-9598
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
FL
Other
Enumeration date
05/30/2007
Last updated
08/22/2020
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