Organization
FAMILY THERAPY ASSOCIATES OF JACKSONVILLE LLC
Active
Organization
FAMILY THERAPY ASSOCIATES OF JACKSONVILLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TABITHA JOHNSON PH.D., LMFT (OWNER/MANAGER)
(904) 302-5340
Entity
Organization
Contact information
Practice address
2950 HALCYON LN STE 605, JACKSONVILLE, FL 32223-6692
(904) 302-5340
(904) 800-1211
Mailing address
2950 HALCYON LN STE 605, JACKSONVILLE, FL 32223-6692
(904) 302-5340
(904) 800-1211
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MT2673
FL
Other
Enumeration date
03/01/2013
Last updated
11/08/2016
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