Organization
LCN ENTERPRISE, LLC
Active
Organization
LCN ENTERPRISE, LLC
Active
Other names
Jax Voc Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
LEQUITA CHARMINE BROOKS LCSW (OWNER)
(904) 701-7998
Entity
Organization
Contact information
Practice address
1225 W BEAVER ST STE 106, JACKSONVILLE, FL 32204
(904) 701-7998
(866) 843-7474
Mailing address
221 N HOGAN ST, 365, JACKSONVILLE, FL 32202-4201
(904) 701-7998
(904) 278-4305
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
SW12949
FL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
11/11/2016
Last updated
06/10/2018
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