Organization
SERVE WELL LLC
Active
Organization
SERVE WELL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARREECHA NEWBY (OWNER)
(904) 855-6408
Entity
Organization
Contact information
Practice address
8335 FREEDOM CROSSING TRL APT 4301, JACKSONVILLE, FL 32256-8254
(904) 855-6408
Mailing address
PO BOX 23251, JACKSONVILLE, FL 32241-3251
(904) 855-6408
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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