Organization
CLIMB UP CLIMB OUT COUNSELING & SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REYLIUS THOMPSON JR. LMHC (CEO)
(904) 718-8956
Entity
Organization
Contact information
Practice address
928 EAVERSON ST, JACKSONVILLE, FL 32204-1065
(904) 718-8956
Mailing address
928 EAVERSON ST, JACKSONVILLE, FL 32204-1065
(904) 718-8956
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21360
LMHC
FL
Enumeration date
10/13/2022
Last updated
10/13/2022
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