| Redirecting Hope Inc | |
|
12708 San Jose Blvd Jacksonville FL 32223-2689 | |
| (804) 337-9048 | |
| Not Available |
| Full Name | Redirecting Hope Inc |
|---|---|
| Speciality | Case Management |
| Location | 12708 San Jose Blvd, Jacksonville, Florida |
| Authorized Official Name and Position | Anthony Hines (CLINICAL DIRECTOR) |
| Authorized Official Contact | 8043379048 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Redirecting Hope Inc 12708 San Jose Blvd Jacksonville FL 32223-2689 Ph: () - | Redirecting Hope Inc 12708 San Jose Blvd Jacksonville FL 32223-2689 Ph: (804) 337-9048 |
| NPI Number | 1215755095 |
|---|---|
| Provider Enumeration Date | 09/30/2024 |
| Last Update Date | 07/09/2026 |
| Certification Date | 07/09/2026 |
| Medicare PECOS PAC ID | 8729506613 |
|---|---|
| Medicare Enrollment ID | O20250514002910 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215755095 | NPI | - | NPPES |
| Provider Name | Anthony Hines |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336625557 PECOS PAC ID: 4880127158 Enrollment ID: I20250514003011 |
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