Individual
MS. ALISSA MEADOW MYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4070 HERSCHEL ST STE 1, JACKSONVILLE, FL 32210-2239
(805) 559-8889
Mailing address
PO BOX 15182, FERNANDINA BEACH, FL 32035-3104
(805) 559-8889
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LCS18282
CA
1041C0700X
Clinical Social Worker
Primary
SW20995
FL
Other
Enumeration date
09/04/2019
Last updated
08/08/2025
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