Organization
POSITIVE CHANGE MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL DANIEL KNABB PHD (OWNER)
(904) 383-7352
Entity
Organization
Contact information
Practice address
6620 SOUTHPOINT DR S STE 450F, JACKSONVILLE, FL 32216-0912
(904) 383-7352
Mailing address
9771 RIDDLE RD, JACKSONVILLE, FL 32220-1919
(904) 383-7352
(904) 404-7740
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PY8463
FL
Other
Enumeration date
10/26/2012
Last updated
01/08/2024
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