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SOUTHSIDE COUNSELLING CENTER LLC
NPI 1124304167
Counselor - Professional in Jacksonville, FL

Active since October 21, 2011
3681 CAROL ANN LN, JACKSONVILLE, FL 32223(904) 316-3365(904) 292-2409 Get Directions Write a Review

NPPES record last updated: March 14, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southside Counselling Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHSIDE COUNSELLING CENTER LLC (NPI 1124304167) is a healthcare organization registered as a professional in Jacksonville, Florida and active in the NPI registry since October 2011. The organization lists Carmella Gardner, Owner, as its authorized official.

NPPES Registry Identity

NPI1124304167
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameSOUTHSIDE COUNSELLING CENTER LLC
Location Address3681 CAROL ANN LNJacksonville, FL 32223-7394
Mailing Address2950 Halcyon LnJacksonville, FL 32223-6689 · (904) 316-3365 · Fax (904) 292-2409
Phone(904) 316-3365
Fax(904) 292-2409
Organization SubpartNo
Authorized OfficialCarmella GardnerOwner · (904) 316-3365
Enumeration DateOctober 21, 2011
Last NPPES UpdateMarch 14, 2012
✔ NPI 1124304167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in FL · MH8370
3681 CAROL ANN LN, Jacksonville, FL 32223
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southside Counselling Center LLC's NPI number?

The NPI number for Southside Counselling Center LLC is 1124304167. It was assigned to this organization in the NPPES registry on October 21, 2011.

Where is Southside Counselling Center LLC located?

Southside Counselling Center LLC is located at 3681 Carol Ann Ln, Jacksonville, FL 32223. The listed phone number is (904) 316-3365.

What is Southside Counselling Center LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Southside Counselling Center LLC was last updated on March 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.