Gateway Community Services, Inc.

LBN: Gateway Community Services, Inc.
Gateway Community Services, Inc. is an health care organization with primary practice located at 555 Stockton St , Jacksonville FL 32204-2534. The organization recently has 4 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, Nursing Service Related Providers / Doula. Agencies / Community/Behavioral Health is the primary health care specialty. Gateway Community Services, Inc. can be contacted via phone (904) 387-4661, or through Holloway, Shawanda via phone (904) 387-4661.

Contact Information

Primary practice address
555 Stockton St Jacksonville FL 32204-2534
Phone: (904) 387-4661
Fax: (904) 384-5753
Website:
Map and Directions
Authorized official contact:
Name: Holloway, Shawanda LMHC, MCAP
Phone: (904) 387-4661

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 0416AD182816 Florida
Nursing Service Related Providers / Doula 374J00000X

Profile Details

NPI number 1356305338
LBN Legal business name Gateway Community Services, Inc.
DBA Doing business as
Authorized official Holloway, Shawanda LMHC, MCAP
Entity Organization
Organization subpart 1 No
Enumeration date Apr 14th, 2006
Last updated Oct 24th, 2023 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356305338 NPPES
Florida MEDICAID 060594800

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