THERALOGY, LLC
NPI 1154918209
Counselor - Professional in Jacksonville Beach, FL

Active since December 23, 2020
4300 MARSH LANDING BLVD, SUITE 204, JACKSONVILLE BEACH, FL 32250(904) 515-2050 Get Directions Write a Review

NPPES record last updated: December 23, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Counselor
  • Professional

About THERALOGY, LLC

This page provides the complete NPI Profile along with additional information for Theralogy, Llc, a provider established in Jacksonville Beach, Florida operating as a Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1154918209 assigned on December 2020. The practitioner's primary taxonomy code is 101YP2500X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Christine Ellis Lmhc (Mgr)

NPI
1154918209 Verify this NPI
Provider Name
THERALOGY, LLC
Entity Type
Organization
Location Address
4300 MARSH LANDING BLVD SUITE 204 JACKSONVILLE BEACH, FL 32250
Location Phone
(904) 515-2050
Mailing Address
1015 ATLANTIC BLVD STE 161 ATLANTIC BEACH, FL 32233
Mailing Phone
(904) 515-2370
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-23-2020
Last Update Date
12-23-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHRISTINE ELLIS LMHC

Authorized Official Title
MGR
Authorized Official Phone
(904) 515-2370

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Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Counselor (Mental Health)
4300 MARSH LANDING BLVD
JACKSONVILLE BEACH, FL 32250
Social Worker (Clinical)
4300 MARSH LANDING BLVD, SUITE 204
JACKSONVILLE BEACH, FL 32250
Social Worker (Clinical)
4300 MARSH LANDING BLVD
JACKSONVILLE BEACH, FL 32250
Social Worker (Clinical)
4300 MARSH LANDING BLVD, STE 204
JACKSONVILLE BEACH, FL 32250
Clinic/Center (Mental Health (Including Community Mental Health Center))
4300 MARSH LANDING BLVD, SUITE #203
JACKSONVILLE BEACH, FL 32250
Clinic/Center (Adult Mental Health)
4300 MARSH LANDING BLVD
JACKSONVILLE BEACH, FL 32250
Social Worker (Clinical)
4300 MARSH LANDING BLVD, SUITE 204
JACKSONVILLE BEACH, FL 32250
Nurse Practitioner (Psychiatric/Mental Health)
4300 MARSH LANDING BLVD
JACKSONVILLE, FL 32250

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154918209, enumerated as an "organization" on December 23, 2020.

The provider is located at 4300 MARSH LANDING BLVD SUITE 204 JACKSONVILLE BEACH, FL 32250 and the phone number is (904) 515-2050.

Counselor with taxonomy code 101YP2500X and a focus in Professional.