| Tsi Health, Llc | |
|
1904 Farragut Pl Jacksonville FL 32207-3420 | |
| (904) 503-0131 | |
| (636) 600-2012 |
| Full Name | Tsi Health, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1904 Farragut Pl, Jacksonville, Florida |
| Authorized Official Name and Position | Joanna Lea Ale (CEO / OWNER) |
| Authorized Official Contact | 9045030131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tsi Health, Llc 5633 Clifton Ave Jacksonville FL 32211 Ph: (904) 503-0131 | Tsi Health, Llc 1904 Farragut Pl Jacksonville FL 32207-3420 Ph: (904) 503-0131 |
| NPI Number | 1548757693 |
|---|---|
| Provider Enumeration Date | 04/15/2018 |
| Last Update Date | 03/02/2022 |
| Certification Date | 03/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548757693 | NPI | - | NPPES |
| 020405700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH13635 (Florida) | Secondary |
| 103K00000X | Behavior Analyst | 1-06-3134 (Florida) | Primary |
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