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A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master?s degree and clinical experience and supervision for licensure or certification.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Counselor |
101Y00000X | |||
Addiction (Substance Use Disorder) |
101YA0400X | |||
Community/Behavioral Health |
251S00000X | |||
Exercise & Sports |
103TE1100X | 62 | Psychologist, Clinical | |
Mental Health |
101YM0800X | |||
Pastoral |
101YP1600X | |||
Psychologist |
103T00000X | 62 | Psychologist, Clinical |
| NPI # | 1306192513 |
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| LBN Legal business name | FAMILY COUNSELING & PSYCHOLOGICAL SERVICES LLC | ||||||||||||
| Authorized official | KENNETH JOHNSON - (ADMINISTRATOR OF BUSINESS) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 07/25/2012 | ||||||||||||
| Last updated | 01/21/2015 - About 11 years ago | ||||||||||||
| Identifiers |
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FAMILY COUNSELING & PSYCHOLOGICAL SERVICES LLC
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| AGENCY FOR COMMUNITY EMPOWERMENT ACE 5730 BOWDEN RD STE 206 JACKSONVILLE, FL |
| TAMARA N SEWELL 5776 ST AUGUSTINE ROAD JACKSONVILLE, FL |
FAMILY COUNSELING & PSYCHOLOGICAL SERVICES LLC