Organization
ESSENCE OF LIFE COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYRENIA OCTAVIA CROSS LMHC (OWNER)
(904) 699-6342
Entity
Organization
Contact information
Practice address
7235 BONNEVAL RD, SUITE# 205, JACKSONVILLE, FL 32256-7565
(904) 699-6342
(904) 861-0441
Mailing address
16462 TISONS BLUFF RD, JACKSONVILLE, FL 32218-8993
(904) 699-6342
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MH13677
FL
Other
Enumeration date
12/07/2015
Last updated
12/07/2015
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