| One Stop Community Base Behavioral Healthcare Inc | |
|
12058 San Jose Blvd Ste 903 Jacksonville FL 32223-8667 | |
| (894) 886-0361 | |
| (904) 886-0382 |
| Full Name | One Stop Community Base Behavioral Healthcare Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 12058 San Jose Blvd Ste 903, Jacksonville, Florida |
| Authorized Official Name and Position | Farkhanda Khan (THERAPIST) |
| Authorized Official Contact | 9044033241 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| One Stop Community Base Behavioral Healthcare Inc 3025 Farrington St Jacksonville FL 32224-1821 Ph: (904) 403-3241 | One Stop Community Base Behavioral Healthcare Inc 12058 San Jose Blvd Ste 903 Jacksonville FL 32223-8667 Ph: (894) 886-0361 |
| NPI Number | 1700360039 |
|---|---|
| Provider Enumeration Date | 09/21/2018 |
| Last Update Date | 09/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700360039 | NPI | - | NPPES |
| 1528489598 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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