Organization
NORTH FLORIDA MENTAL HEALTH AND WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA LAND (CEO)
(386) 623-3000
Entity
Organization
Contact information
Practice address
232 SW BEAUREGARD GLN, LAKE CITY, FL 32024-5013
(386) 623-3000
Mailing address
653 SW CHOCTAW AVE, FORT WHITE, FL 32038
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
175F00000X
Naturopath
—
—
225C00000X
Rehabilitation Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/03/2018
Last updated
01/03/2020
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