Organization
PRISCILLA DIANE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRISCILLA MCALLISTER LMHC (CEO)
(904) 567-6040
Entity
Organization
Contact information
Practice address
1301 RIVERPLACE BLVD STE 800, JACKSONVILLE, FL 32207-9032
(904) 567-6040
Mailing address
1301 RIVERPLACE BLVD STE 800, JACKSONVILLE, FL 32207-9032
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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