Organization
ATLANTIC FAMILY INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD SCOTT HERBERT M.ED., ED.S. (DIRECTOR/OWNER)
(904) 247-5669
Entity
Organization
Contact information
Practice address
808 3RD ST, STE C, NEPTUNE BEACH, FL 32266-5081
(904) 247-5669
Mailing address
808 3RD ST, STE C, NEPTUNE BEACH, FL 32266-5081
(904) 247-5669
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT0001341
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006678800
—
FL
Enumeration date
11/08/2012
Last updated
11/08/2012
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