| Shreders & Associates, Inc. | |
|
12058 San Jose Blvd Suite 104 Jacksonville FL 32223-8669 | |
| (904) 522-7920 | |
| (833) 563-2523 |
| Full Name | Shreders & Associates, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 12058 San Jose Blvd, Jacksonville, Florida |
| Authorized Official Name and Position | Karly S. Shreders (DIRECTOR) |
| Authorized Official Contact | 9044661791 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shreders & Associates, Inc. 12058 San Jose Blvd Suite 104 Jacksonville FL 32223-8669 Ph: (904) 466-1791 | Shreders & Associates, Inc. 12058 San Jose Blvd Suite 104 Jacksonville FL 32223-8669 Ph: (904) 522-7920 |
| NPI Number | 1801263108 |
|---|---|
| Provider Enumeration Date | 08/21/2015 |
| Last Update Date | 01/12/2026 |
| Certification Date | 01/12/2026 |
| 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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