| Visions Of Hope Counseling And Social Services Llc | |
|
3117 Spring Glen Rd Ste 403 Jacksonville FL 32207-5906 | |
| (904) 662-7919 | |
| Not Available |
| Full Name | Visions Of Hope Counseling And Social Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 3117 Spring Glen Rd Ste 403, Jacksonville, Florida |
| Authorized Official Name and Position | Cornishia Simmons (OWNER) |
| Authorized Official Contact | 9046627919 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Visions Of Hope Counseling And Social Services Llc 3117 Spring Glen Rd Ste 403 Jacksonville FL 32207-5906 Ph: (904) 662-7919 | Visions Of Hope Counseling And Social Services Llc 3117 Spring Glen Rd Ste 403 Jacksonville FL 32207-5906 Ph: (904) 662-7919 |
| NPI Number | 1144098708 |
|---|---|
| Provider Enumeration Date | 12/13/2023 |
| Last Update Date | 12/13/2023 |
| Certification Date | 12/13/2023 |
| Medicare PECOS PAC ID | 6800236464 |
|---|---|
| Medicare Enrollment ID | O20240430000475 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144098708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Cornishia Tyrika Simmons |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639625726 PECOS PAC ID: 7618317272 Enrollment ID: I20240430000994 |
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