Organization
SOUTHERN BAPTIST HOSPITAL
Active
Other names
Psychiatric and Psychological Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLEN WILLIAMS PHD (DIRECTOR)
(904) 376-3800
Entity
Organization
Contact information
Practice address
14546 SAINT AUGUSTINE RD, SUITE 303, JACKSONVILLE, FL 32258-5468
(904) 376-3800
(904) 733-9598
Mailing address
4160 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4317
(904) 376-3800
(904) 733-9598
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
FL
103TC1900X
Counseling Psychologist
Primary
—
FL
Other
Enumeration date
05/30/2007
Last updated
09/11/2025
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