| Taurus Memorial Foundation, Llc | |
|
11513 Kings Ridge Ct S Jacksonville FL 32218-8125 | |
| (904) 489-4223 | |
| Not Available |
| Full Name | Taurus Memorial Foundation, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 11513 Kings Ridge Ct S, Jacksonville, Florida |
| Authorized Official Name and Position | Mindi Gardner (OWNER) |
| Authorized Official Contact | 9044894223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Taurus Memorial Foundation, Llc 11513 Kings Ridge Ct S Jacksonville FL 32218-8125 Ph: (904) 489-4223 | Taurus Memorial Foundation, Llc 11513 Kings Ridge Ct S Jacksonville FL 32218-8125 Ph: (904) 489-4223 |
| NPI Number | 1508321498 |
|---|---|
| Provider Enumeration Date | 02/05/2019 |
| Last Update Date | 09/29/2023 |
| Certification Date | 09/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508321498 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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