| Tuggle Counseling And Consulting Services, Llc | |
|
9471 Baymeadows Rd Ste 303 Jacksonville FL 32256-7936 | |
| (904) 332-7431 | |
| (904) 332-7408 |
| Full Name | Tuggle Counseling And Consulting Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 9471 Baymeadows Rd Ste 303, Jacksonville, Florida |
| Authorized Official Name and Position | Ca-shauna Tuggle (PRESIDENT) |
| Authorized Official Contact | 9049820253 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tuggle Counseling And Consulting Services, Llc 9471 Baymeadows Rd Ste 303 Jacksonville FL 32256-7936 Ph: (904) 332-7431 | Tuggle Counseling And Consulting Services, Llc 9471 Baymeadows Rd Ste 303 Jacksonville FL 32256-7936 Ph: (904) 332-7431 |
| NPI Number | 1649868183 |
|---|---|
| Provider Enumeration Date | 01/08/2021 |
| Last Update Date | 01/08/2021 |
| Certification Date | 01/08/2021 |
| Medicare PECOS PAC ID | 1951715838 |
|---|---|
| Medicare Enrollment ID | O20210204001921 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649868183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Cashauna Tuggle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801304084 PECOS PAC ID: 2860806742 Enrollment ID: I20210204002429 |
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