| Shreders & Associates, Pllc | |
|
2950 Halcyon Ln Suite 703 Jacksonville FL 32223-6689 | |
| (904) 200-0604 | |
| Not Available |
| Full Name | Shreders & Associates, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 2950 Halcyon Ln, Jacksonville, Florida |
| Authorized Official Name and Position | Karly S Shreders (LMHC) |
| Authorized Official Contact | 9042000604 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shreders & Associates, Pllc 2950 Halcyon Ln Suite 703 Jacksonville FL 32223-6689 Ph: (904) 200-0604 | Shreders & Associates, Pllc 2950 Halcyon Ln Suite 703 Jacksonville FL 32223-6689 Ph: (904) 200-0604 |
| NPI Number | 1801263108 |
|---|---|
| Provider Enumeration Date | 08/21/2015 |
| Last Update Date | 12/09/2024 |
| Certification Date | 12/09/2024 |
| Medicare PECOS PAC ID | 7214478213 |
|---|---|
| Medicare Enrollment ID | O20240918000695 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801263108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH 10130 (Florida) | Primary |
| Provider Name | Karly Stuart Shreders |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316276686 PECOS PAC ID: 8123569126 Enrollment ID: I20240918000764 |
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