| Positive Lifestyles Counseling Center | |
|
1637 Race Track Rd Jacksonville FL 32259-3239 | |
| (904) 436-6210 | |
| (904) 436-6212 |
| Full Name | Positive Lifestyles Counseling Center |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1637 Race Track Rd, Jacksonville, Florida |
| Authorized Official Name and Position | Atiya Bano Day (PRESIDENT) |
| Authorized Official Contact | 9044366210 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Positive Lifestyles Counseling Center 1637 Race Track Rd Jacksonville FL 32259-3239 Ph: (904) 436-6210 | Positive Lifestyles Counseling Center 1637 Race Track Rd Jacksonville FL 32259-3239 Ph: (904) 436-6210 |
| NPI Number | 1720486533 |
|---|---|
| Provider Enumeration Date | 12/10/2014 |
| Last Update Date | 12/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720486533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW6954 (Florida) | Primary |
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