Organization
SOCIAL CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HYDEE VANTERPOOL LMHC (COO)
(904) 294-5329
Entity
Organization
Contact information
Practice address
8833 PERIMETER PARK BLVD STE 201, JACKSONVILLE, FL 32216-1111
(904) 294-5329
(904) 485-8460
Mailing address
8833 PERIMETER PARK BLVD STE 201, JACKSONVILLE, FL 32216-1111
(904) 294-5329
(904) 485-8460
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012289300
—
FL
Enumeration date
08/06/2021
Last updated
12/24/2022
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