Organization
FLORIDA HEALTHY MINDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
POLLY CHARETTE (LCSW)
(678) 517-3016
Entity
Organization
Contact information
Practice address
504 OSCEOLA AVE, JACKSONVILLE, FL 32250-4030
(678) 517-3016
Mailing address
504 OSCEOLA AVE, JACKSONVILLE, FL 32250-4030
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW11864
FL
Other
Enumeration date
05/05/2015
Last updated
05/05/2015
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