Organization
BIOFEEDBACK ASSOCIATES OF NE FL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNETTE MARIE THARP-WRIGHT MS, LMHC, NCC (OWNER/ COUNSELOR)
(904) 646-0054
Entity
Organization
Contact information
Practice address
11512 LAKE MEAD AVE, SUITE 703, JACKSONVILLE, FL 32256
(904) 646-0054
(904) 646-0930
Mailing address
11512 LAKE MEAD AVE, SUITE 703, JACKSONVILLE, FL 32256
(904) 646-0054
(904) 646-0930
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH2969
FL
101YM0800X
Mental Health Counselor
MH4616
FL
101YM0800X
Mental Health Counselor
MH5132
FL
101YM0800X
Mental Health Counselor
MH5155
FL
101YM0800X
Mental Health Counselor
Primary
MH6843
FL
101YM0800X
Mental Health Counselor
SW1447
FL
101YM0800X
Mental Health Counselor
SW2527
FL
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
07/25/2006
Last updated
01/28/2019
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