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Contact Information

HUMAN ROOTS INTEGRATIVE PSYCHIATRY PLLC
425 TOWN PLAZA AVE
PONTE VEDRA BEACH, FL32081
 Phone: 877-595-7668
 Fax: 877-595-7570
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for HUMAN ROOTS INTEGRATIVE PSYCHIATRY PLLC

NPI # 1861299745
LBN Legal business name HUMAN ROOTS INTEGRATIVE PSYCHIATRY PLLC
Authorized official ANNELINE KINGSLEY - (PSYCHIATRIST)
Entity Organization
Organization subpart 1 No
Enumeration date 02/27/2025
Last updated 02/27/2025 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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