Organization
INTEGRATIVE SOCIAL SERVICES LLC
Active
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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