| Phaith Coaching & Counseling, Llc | |
|
4940 Emerson St Jacksonville FL 32207-4963 | |
| (904) 323-6801 | |
| (904) 328-1626 |
| Full Name | Phaith Coaching & Counseling, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4940 Emerson St, Jacksonville, Florida |
| Authorized Official Name and Position | Phylicia Massey (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 9043236801 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phaith Coaching & Counseling, Llc 8106 Sierra Oaks Blvd Jacksonville FL 32219-3902 Ph: (904) 323-6801 | Phaith Coaching & Counseling, Llc 4940 Emerson St Jacksonville FL 32207-4963 Ph: (904) 323-6801 |
| NPI Number | 1285257535 |
|---|---|
| Provider Enumeration Date | 05/21/2020 |
| Last Update Date | 05/21/2020 |
| Certification Date | 05/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285257535 | NPI | - | NPPES |
| 1376817551 | Other | FL | PERSONAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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