Organization
CENTRAL COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY WALKER GRANGER MS, CAP, CMHP, ICADC (OWNER)
(904) 742-5835
Entity
Organization
Contact information
Practice address
630 W ADAMS ST, STE 303, JACKSONVILLE, FL 32204-1645
(904) 742-5835
(904) 212-0056
Mailing address
630 W ADAMS ST, STE 303, JACKSONVILLE, FL 32204-1645
(904) 742-5835
(904) 212-0056
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032566000
—
FL
Enumeration date
01/04/2012
Last updated
12/11/2014
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