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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