DISCOVERY MENTAL HEALTH SERVICES NPI 1023697745

NPI Information

NPI: 1023697745
Provider Name: DISCOVERY MENTAL HEALTH SERVICES
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
13453 N MAIN ST STE 104
JACKSONVILLE, FL
ZIP 32218
Phone: (904) 773-4390
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DISCOVERY MENTAL HEALTH SERVICES is a multi-specialty clinic center in Jacksonville, FL. DISCOVERY MENTAL HEALTH SERVICES NPI is 1023697745. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

13453 N MAIN ST STE 104
JACKSONVILLE, FL
ZIP 32218-773
Phone: (904) 773-4390
Fax: (941) 621-7089

The provider's authorized official is Kelly Lane Stevens .
The authorized official title is Owner and has the following contact phone number (904) 294-6277.

The enumeration date for this NPI number is 4/8/2021 and was last updated on 2/23/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	106H00000X	Marriage & Family Therapist		No
2	363L00000X	Nurse Practitioner		No
3	101YM0800X	Counselor	Mental Health	No
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	No
5	1041C0700X	Social Worker	Clinical	No
6	261QM1300X	Clinic/Center	Multi-Specialty	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	11501600	MEDICAID	FLORIDA
2	OV824	OTHER	FLORIDA	MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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