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Organization
FIRST COAST BEHAVIOR SOLUTIONS, LLC
Active
Organization
FIRST COAST BEHAVIOR SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CRUISE LMHC, BCABA (OWNER/ CLINICAL DIRECTOR)
(904) 476-8956
Entity
Organization
Contact information
Practice address
2317 BLANDING BLVD STE 102, JACKSONVILLE, FL 32210
(904) 200-7979
(904) 387-5890
Mailing address
2317 BLANDING BLVD STE 102, JACKSONVILLE, FL 32210-4167
(904) 200-7979
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH-10245
FL
Other
Enumeration date
01/16/2013
Last updated
09/11/2018
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