Psychological Services Of St. Augustine in St. Augustine - Mental Health
Psychological Services Of St. Augustine - NPI 1952451775
Psychological Services Of St. Augustine is a Mental Health in St. Augustine, Florida. Psychological Services Of St. Augustine practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Psychological Services Of St. Augustine is 1952451775. The last update date is 2020-08-22.
Psychological Services Of St. Augustine's current location address is 1100-1 South Ponce De Leon Blvd., St. Augustine, Florida. You can contact this provider via phone number 9048247733. The mailing address for Psychological Services Of St. Augustine is 1100-1 South Ponce De Leon Blvd., St. Augustine, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Psychological Services Of St. Augustine |
|---|---|
| Address | 1100-1 South Ponce De Leon Blvd., St. Augustine, Florida |
| Phone Number | 9048247733 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Merwin Jack |
| Credentials | PHD. |
| Telephone Number | 9048247733 |
NPI Number Detail
| NPI Number | 1952451775 |
|---|---|
| Provider Enumeration Date | 2007-01-12 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1100-1 South Ponce De Leon Blvd. |
|---|---|
| City | St. Augustine |
| State | Florida (FL) |
| Post Code | 32084 |
| Phone Number | 9048247733 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | PY2444 |
|
Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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What is the Psychological Services Of St. Augustine's 1952451775?
The Psychological Services Of St. Augustine's NPI (National Provider Identifier) Number is 1952451775. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Psychological Services Of St. Augustine?
The Psychological Services Of St. Augustine is situated at 1100-1 South Ponce De Leon Blvd., in the city of St. Augustine, state of FL, with the zip code 32084.
What is Psychological Services Of St. Augustine's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Psychological Services Of St. Augustine's specialized field of practice is Mental Health, and the corresponding taxonomy code that categorizes this area of specialization is 101Ym0800X.
When was the Psychological Services Of St. Augustine's 1952451775 issued?
The Psychological Services Of St. Augustine's 1952451775 was issued on 2007-01-12.
As of what date were the details related to Psychological Services Of St. Augustine most recently updated or revised?
The information pertaining to Psychological Services Of St. Augustine, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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