Organization
EBTIDE COUNSELING GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EBONY DAVIS LCSW (OWNER)
(904) 615-9037
Entity
Organization
Contact information
Practice address
3100 UNIVERSITY BLVD S STE 218, JACKSONVILLE, FL 32216-2727
(904) 615-9037
Mailing address
3100 UNIVERSITY BLVD S STE 218, JACKSONVILLE, FL 32216-2727
(904) 615-9037
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/28/2019
Last updated
09/28/2019
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