PURPLE MOON SERVICE CENTER, LLC
NPI 1194450676
Counselor - Mental Health in Jacksonville, FL

Active since July 19, 2022
931 CASSAT AVE, JACKSONVILLE, FL 32205(904) 233-1019(904) 369-4666 Get Directions Write a Review

NPPES record last updated: July 19, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Counselor
  • Mental Health

About PURPLE MOON SERVICE CENTER, LLC

This page provides the complete NPI Profile along with additional information for Purple Moon Service Center, Llc, a provider established in Jacksonville, Florida operating as a Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1194450676 assigned on July 2022. The practitioner's primary taxonomy code is 101YM0800X. The provider is registered as an organization and their NPI record was last updated 4 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 Ms. Valjeanne R Caster Lmhc, Mac, Camsii, (Counselor -owner)

NPI
1194450676 Verify this NPI
Provider Name
PURPLE MOON SERVICE CENTER, LLC
Entity Type
Organization
Location Address
931 CASSAT AVE JACKSONVILLE, FL 32205
Location Phone
(904) 233-1019
Location Fax
(904) 369-4666
Mailing Address
931 CASSAT AVE JACKSONVILLE, FL 32205
Mailing Phone
(904) 233-1019
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-19-2022
Last Update Date
07-19-2022
Code Navigator

A mental health counselor like Purple Moon Service Center, Llc provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

Location Map

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 Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers

Group Taxonomy 193400000X MULTIPLE 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

MS. VALJEANNE R CASTER LMHC, MAC, CAMSII,

Authorized Official Title
COUNSELOR -OWNER
Authorized Official Phone
(904) 233-1019

Reviews for PURPLE MOON SERVICE CENTER, LLC

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Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Psychologist (Clinical)
931 CASSAT AVE
JACKSONVILLE, FL 32205
Psychologist
931 CASSAT AVE
JACKSONVILLE, FL 32205
Counselor (Mental Health)
931 CASSAT AVE
JACKSONVILLE, FL 32205
Counselor (Mental Health)
931 CASSAT AVE
JACKSONVILLE, FL 32205

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194450676, enumerated as an "organization" on July 19, 2022.

The provider is located at 931 CASSAT AVE JACKSONVILLE, FL 32205 and the phone number is (904) 233-1019.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.