Organization
CONNECT TO COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARITA BRYANT (OWNER)
(904) 648-6200
Entity
Organization
Contact information
Practice address
1225 W BEAVER ST STE 120, JACKSONVILLE, FL 32204-1415
(904) 648-6200
(904) 648-6300
Mailing address
1225 W BEAVER ST STE 120, JACKSONVILLE, FL 32204-1415
(904) 648-6200
(904) 648-6300
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/19/2020
Last updated
12/19/2020
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