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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