Organization
SHANTONE V TOLIVER DAVENPORT SAPPHIRE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTONE DAVENPORT (LMHC)
(904) 704-0411
Entity
Organization
Contact information
Practice address
2546 STORMY CIR, NAVARRE, FL 32566-9060
(904) 704-0411
Mailing address
2546 STORMY CIR, NAVARRE, FL 32566-9060
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
03/04/2021
Last updated
03/04/2021
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