Childers, Tommy Kenneth
Childers, Tommy Kenneth is an individual health care provider with primary practice located at 3948 Sunbeam Rd , Jacksonville FL 32257-8852. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Childers, Tommy Kenneth can be contacted via phone (904) 886-9286.Contact Information
Primary practice address
3948 Sunbeam Rd
Jacksonville FL 32257-8852
Phone: (904) 886-9286
Fax: (904) 886-9669
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MH0001911 | Florida |
Profile Details
| NPI number | 1457304834 |
|---|---|
| LBN Legal business name | Childers, Tommy Kenneth |
| Credentials | PHD, LMHC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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