Organization
GENESIS CLINICAL COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA SORRYE LMHC (OWNER/THERAPIST)
(904) 219-5560
Entity
Organization
Contact information
Practice address
2255 DUNN AVE STE 206, JACKSONVILLE, FL 32218-4739
(904) 201-9658
(866) 270-8565
Mailing address
2255 DUNN AVE STE 206, JACKSONVILLE, FL 32218-4739
(904) 201-9658
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
01/12/2021
Last updated
01/12/2021
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