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ISHMAEL EAVES FARRA MA
NPI 1336616382
Counselor - Addiction (Substance Use Disorder) in Jacksonville, FL

Active since October 29, 2018
6639 SOUTHPOINT PKWY STE 108, JACKSONVILLE, FL 32216(904) 438-7640 Get Directions Write a Review

NPPES record last updated: October 29, 2018. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Ishmael Eaves Farra Ma NPPES

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

ISHMAEL EAVES FARRA MA (NPI 1336616382) is an individual addiction (substance use disorder) provider in Jacksonville, Florida and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1336616382
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameISHMAEL EAVES FARRACredential: MA
Location Address6639 SOUTHPOINT PKWY STE 108Jacksonville, FL 32216-8042
Mailing Address6639 Southpoint Pkwy Ste 108Jacksonville, FL 32216-8042
Phone(904) 438-7640
Sole ProprietorNo
Enumeration DateOctober 29, 2018
✔ NPI 1336616382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedCounselorTaxonomy 101Y00000X
6639 SOUTHPOINT PKWY STE 108, Jacksonville, FL 32216
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Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SABRINA BRITE
Licensed Practical Nurse
6639 SOUTHPOINT PKWY STE 108
JACKSONVILLE, FL 32216
Duval County (904) 438-7640
AERIAL BRESHAUNA COBB MS
Counselor (Addiction (Substance Use Disorder))
6639 SOUTHPOINT PKWY STE 108
JACKSONVILLE, FL 32216
Duval County (904) 438-7640
MS. VICTORIA RENEE WOMACK MSW
Social Worker (Clinical)
6639 SOUTHPOINT PKWY STE 108
JACKSONVILLE, FL 32216
Duval County (757) 912-2622
LAWRENCE DANIEL SR.
Counselor (Addiction (Substance Use Disorder))
6639 SOUTHPOINT PKWY STE 108
JACKSONVILLE, FL 32216
Duval County (904) 438-7640
REBECCA BESSENT-HALL LPN
Licensed Practical Nurse
6639 SOUTHPOINT PKWY STE 108
JACKSONVILLE, FL 32216
Duval County (904) 438-7640
ERIKA LOWERY
Counselor
6639 SOUTHPOINT PKWY STE 108
JACKSONVILLE, FL 32216
Duval County (904) 438-7640
BRIDGETT PRINCESS WILEY
Counselor (Addiction (Substance Use Disorder))
6639 SOUTHPOINT PKWY STE 108
JACKSONVILLE, FL 32216
Duval County (904) 438-7640
COLLEEN MCKENNA
Counselor (Addiction (Substance Use Disorder))
6639 SOUTHPOINT PKWY STE 108
JACKSONVILLE, FL 32216
Duval County (904) 438-7640

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 Ishmael Eaves Farra's NPI number?

The NPI number for Ishmael Eaves Farra is 1336616382. It was assigned to this individual provider in the NPPES registry on October 29, 2018.

Where is Ishmael Eaves Farra located?

Ishmael Eaves Farra practices at 6639 Southpoint Pkwy Ste 108, Jacksonville, FL 32216. The listed phone number is (904) 438-7640.

What is Ishmael Eaves Farra's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Ishmael Eaves Farra was last updated on October 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.