| Gracefully Anchored Psychiatry | |
|
4600 Beach Blvd Jacksonville FL 32207-4764 | |
| (904) 650-3906 | |
| Not Available |
| Full Name | Gracefully Anchored Psychiatry |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 4600 Beach Blvd, Jacksonville, Florida |
| Authorized Official Name and Position | Elisha Greggo (OWNER) |
| Authorized Official Contact | 9046503906 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gracefully Anchored Psychiatry 4600 Beach Blvd Jacksonville FL 32207-4764 Ph: (904) 650-3906 | Gracefully Anchored Psychiatry 4600 Beach Blvd Jacksonville FL 32207-4764 Ph: (904) 650-3906 |
| NPI Number | 1174313936 |
|---|---|
| Provider Enumeration Date | 05/07/2025 |
| Last Update Date | 05/07/2025 |
| Certification Date | 05/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174313936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
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