Emdr Trauma Therapy Center Llc
LBN: Emdr Trauma Therapy Center Llc
Emdr Trauma Therapy Center Llc is an health care organization with primary practice located at 1543 Kingsley Ave Ste 14 , Orange Park FL 32073-4570. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty.
Emdr Trauma Therapy Center Llc can be contacted via phone (904) 375-9679, or through Mitchell, Jeannie L via phone (904) 375-9679.
Contact Information
Primary practice address
1543 Kingsley Ave Ste 14
Orange Park FL 32073-4570
Phone: (904) 375-9679
Fax: (904) 269-0870
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | ||
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | ||
| Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X |
Profile Details
| NPI number | 1407474943 |
|---|---|
| LBN Legal business name | Emdr Trauma Therapy Center Llc |
| DBA Doing business as | |
| Authorized official | Mitchell, Jeannie L LMHC |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 10th, 2020 |
| Last updated | Jul 10th, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407474943 | NPPES |
| Other | 1114348661 | NPI |
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