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Contact Information

A SAFE PLACE BEHAVIORAL HEALTH
10151 DEERWOOD PARK BLVD
200-250
JACKSONVILLE, FL32256
 Phone: 904-479-6494
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for A SAFE PLACE BEHAVIORAL HEALTH · (Female)

NPI # 1689318321
Status Active
Credentials
Entity Individual
Enumeration date 04/27/2022
Last updated 04/27/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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