| Sel Psychiatry Llc | |
|
2523 Herschel St Jacksonville FL 32204-4509 | |
| (904) 525-1443 | |
| Not Available |
| Full Name | Sel Psychiatry Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2523 Herschel St, Jacksonville, Florida |
| Authorized Official Name and Position | Sarah Lynch (OWNER) |
| Authorized Official Contact | 9045251443 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sel Psychiatry Llc 2523 Herschel St Jacksonville FL 32204-4509 Ph: () - | Sel Psychiatry Llc 2523 Herschel St Jacksonville FL 32204-4509 Ph: (904) 525-1443 |
| NPI Number | 1750109120 |
|---|---|
| Provider Enumeration Date | 10/02/2024 |
| Last Update Date | 10/30/2024 |
| Certification Date | 10/30/2024 |
| Medicare PECOS PAC ID | 8426581083 |
|---|---|
| Medicare Enrollment ID | O20241104003636 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750109120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Sarah Lynch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669013595 PECOS PAC ID: 4981936374 Enrollment ID: I20191105001187 |
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