Organization
INTEGRATIVE SOCIAL SERVICES LLC
Active
Other names
Integrative Counseling Services of NEFL
Organization subpart
No
Provider details
NPI number
Authorized official
THUYDY NGUYEN MS (IMFT)
(904) 834-1341
Entity
Organization
Contact information
Practice address
2301 PARK AVE STE 205, ORANGE PARK, FL 32073-5558
(904) 592-7298
Mailing address
1085 ATLANTIC BLVD APT 13, ATLANTIC BEACH, FL 32233-3341
(904) 834-1341
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
03/13/2020
Last updated
03/13/2020
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