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Organization
NORTH FLORIDA MENTAL HEALTH AND WELLNESS CENTER
Active
Organization
NORTH FLORIDA MENTAL HEALTH AND WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA LAND (CEO)
(386) 623-3000
Entity
Organization
Contact information
Practice address
232 SW BEAUREGARD GLN, LAKE CITY, FL 32024-5013
(386) 623-3000
Mailing address
653 SW CHOCTAW AVE, FORT WHITE, FL 32038
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
175F00000X
Naturopath
—
—
225C00000X
Rehabilitation Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/03/2018
Last updated
01/03/2020
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