Organization
ACTS OF VIRTUE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LASHICA SHARTRECE CHARLEY LMHC (OWNER/DIRECTOR)
(850) 610-1785
Entity
Organization
Contact information
Practice address
9424 BAYMEADOWS RD STE 250, JACKSONVILLE, FL 32256-7967
(850) 610-1785
(850) 812-4693
Mailing address
9424 BAYMEADOWS RD STE 250, JACKSONVILLE, FL 32256-7967
(850) 610-1785
(850) 812-4693
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235486093
—
FL
Enumeration date
09/08/2021
Last updated
09/08/2021
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