Individual
KASSIE WHITFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13100 BROXTON BAY DR APT 415, JACKSONVILLE, FL 32218-8366
(904) 480-1755
Mailing address
7643 GATE PKWY # 104-606, JACKSONVILLE, FL 32256-2893
(904) 480-1755
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
—
—
171400000X
Health & Wellness Coach
Primary
—
—
251E00000X
Home Health Agency
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
06/15/2021
Last updated
05/28/2026
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