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MIRALIFE HEALTH SERVICES
NPI 1285959312
Social Worker - Clinical in Jacksonville, NC

Active since March 31, 2010
108 CARDIFF CT # CY, JACKSONVILLE, NC 28546(301) 437-9666 Get Directions Write a Review

NPPES record last updated: February 11, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Miralife Health Services NPPES

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

MIRALIFE HEALTH SERVICES (NPI 1285959312) is a healthcare organization registered as a clinical in Jacksonville, North Carolina and active in the NPI registry since March 2010. The organization lists Janny Jinor, Manager, as its authorized official.

NPPES Registry Identity

NPI1285959312
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameFOUNTAIN THERAPEUTIC AND SUPPORTIVE SERVICES LLC
Location Address108 CARDIFF CT # CYJacksonville, NC 28546-7864
Mailing Address108 Cardiff CtJacksonville, NC 28546-7864 · (301) 437-9666
Phone(301) 437-9666
Organization SubpartNo
Authorized OfficialJanny JinorManager · (301) 437-9666
Enumeration DateMarch 31, 2010
Last NPPES UpdateFebruary 11, 2015
✔ NPI 1285959312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in DC · LC50078852
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
108 CARDIFF CT # CY, Jacksonville, NC 28546
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Other Names 1

Doing Business AsMiralife Health Services

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 Fountain Therapeutic And Supportive Services LLC's NPI number?

The NPI number for Fountain Therapeutic And Supportive Services LLC is 1285959312. It was assigned to this organization in the NPPES registry on March 31, 2010. The provider is doing business as Miralife Health Services.

Where is Fountain Therapeutic And Supportive Services LLC located?

Fountain Therapeutic And Supportive Services LLC is located at 108 Cardiff Ct # Cy, Jacksonville, NC 28546. The listed phone number is (301) 437-9666.

What is Fountain Therapeutic And Supportive Services LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Fountain Therapeutic And Supportive Services LLC was last updated on February 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.