Family Counseling & Psychological Services Llc
Counselor in Amelia Island, FL(View on Map)
Legal Business Name
Family Counseling & Psychological Services Llc
NPI Number
1306192513
NPI Type
Organization
Enumeration Date
07/25/2012
Specialties
(Taxonomies)Name
Code
101Y00000X
101YA0400X
251S00000X
103TE1100X
101YM0800X
101YP1600X
103T00000X
Primary Taxonomy
Yes
No
No
No
No
No
No
Licenses
State
Florida
Florida
Florida
License Number
5460
MH5548
5548
Contact
Information
Purpose
Mailing
Location
Address
5422 FIRST COAST HWY
5422 FIRST COAST HWY
City
Amelia Island
Amelia Island
State
FL
FL
Postal Code
32034-5423
32034-5423
Country
US
US
Telephone Number
(904) 432-7617
(904) 432-7617
Authorized Official
Name
Dr. Kenneth Johnson
Title or Position
ADMINISTRATOR OF BUSINESS
Telephone Number
(386) 235-3831
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 01/21/2015