Organization
BAPTIST BEHAVIORAL HEALTH, LLC
Active
Parent organization
SOUTHERN BAPTIST HOSPITAL OF FLORIDA, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHERN BAPTIST HOSPITAL OF FLORIDA, INC
Authorized official
KENDRA WAGNER LMHC (ADMINISTRATOR)
(904) 376-3800
Entity
Organization
Contact information
Practice address
841 PRUDENTIAL DR STE 1350, JACKSONVILLE, FL 32207-9847
(904) 376-3800
(904) 391-0167
Mailing address
PO BOX 748519, ATLANTA, GA 30374-8519
(904) 376-3800
(904) 376-3998
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007AM
BCBS OF FLORIDA
FL
05
—
015645200
—
FL
01
—
8205120
AETNA
FL
Enumeration date
03/17/2006
Last updated
03/04/2026
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