| First Coast Behavior Solutions, Llc | |
|
2317 Blanding Blvd Ste 102 Jacksonville FL 32210 | |
| (904) 200-7979 | |
| (904) 387-5890 |
| Full Name | First Coast Behavior Solutions, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2317 Blanding Blvd Ste 102, Jacksonville, Florida |
| Authorized Official Name and Position | Kimberly Cruise (OWNER/ CLINICAL DIRECTOR) |
| Authorized Official Contact | 9044768956 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| First Coast Behavior Solutions, Llc 2317 Blanding Blvd Ste 102 Jacksonville FL 32210-4167 Ph: (904) 200-7979 | First Coast Behavior Solutions, Llc 2317 Blanding Blvd Ste 102 Jacksonville FL 32210 Ph: (904) 200-7979 |
| NPI Number | 1720326382 |
|---|---|
| Provider Enumeration Date | 01/16/2013 |
| Last Update Date | 09/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720326382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH-10245 (Florida) | Primary |
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