Organization
AVANTZI INTEGRATIVE BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATREVA DUPONT LCSW (DIRECTOR)
(904) 718-9672
Entity
Organization
Contact information
Practice address
5011 GATE PARKWAY, BUILDING 100 SUITE 100, JACKSONVILLE, FL 32256
(904) 718-9672
Mailing address
5011 GATE PARKWAY, BUILDING 100 SUITE 100, JACKSONVILLE, FL 32256
(904) 718-9672
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/02/2021
Last updated
09/08/2021
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