Organization
CARMELLA GARDNER
Active
Organization
CARMELLA GARDNER
Active
Other names
Southside Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARMELLA C GARDNER LMHC (OWNER)
(904) 292-2497
Entity
Organization
Contact information
Practice address
2950 HALCYON LN, SUITE 701, JACKSONVILLE, FL 32223-6689
(904) 292-2407
(904) 292-2409
Mailing address
3681 CAROL ANN LN, JACKSONVILLE, FL 32223-7394
(904) 292-2407
(904) 292-2409
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MH8370
FL
Other
Enumeration date
12/28/2015
Last updated
02/11/2016
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