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CHILDREN AND ADOLESCENT BEHAVIORAL HEALTH GROUP PLLC NPI 1285378844


NPI Information

NPI: 1285378844
Provider Name: CHILDREN AND ADOLESCENT BEHAVIORAL HEALTH GROUP PLLC
Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

Address:
12220 ATLANTIC BLVD STE 130
JACKSONVILLE, FL
ZIP 32225
Phone: (352) 612-2632
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CHILDREN AND ADOLESCENT BEHAVIORAL HEALTH GROUP PLLC is an adolescent and children mental health clinic center in Jacksonville, FL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. CHILDREN AND ADOLESCENT BEHAVIORAL HEALTH GROUP PLLC NPI is 1285378844. The provider is registered as an organization entity type.

The provider's business location address is:

12220 ATLANTIC BLVD STE 130
JACKSONVILLE, FL
ZIP 32225-826
Phone: (352) 612-2632

The provider's authorized official is Reeva Morton .
The authorized official title is Board Certified Behavior Analyst and has the following contact phone number (443) 996-9471.

The enumeration date for this NPI number is 4/20/2022 and was last updated on 4/20/2022.


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 License Number License State Primary
1261QM0855XClinic/CenterAdolescent and Children Mental HealthYes

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

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