DNA COMPREHENSIVE THERAPY SERVICES, LLC NPI 1679247944

Clinic/Center (Mental Health (Including Community Mental Health Center)) in Jacksonville, FL

NPI 1679247944 Organization Clinic/Center Mental Health (Including Community Menta...

About DNA COMPREHENSIVE THERAPY SERVICES, LLC

Dna Comprehensive Therapy Services, Llc is a provider established in Jacksonville, Florida specializing in clinic/center (mental health (including community mental health center)) . The NPI number of Dna Comprehensive Therapy Services, Llc is 1679247944 and was assigned on August 2021. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated August 2021. The authorized official of this NPI record is Jasmine Curtis (Credentialing Director)

NPI

1679247944

Provider NameDNA COMPREHENSIVE THERAPY SERVICES, LLC
Provider Location Address7751 BAYMEADOWS RD E STE H JACKSONVILLE, FL 32256
Provider Mailing Address4310 METRO PKWY STE 205 FORT MYERS, FL 33916
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Enumeration Date08-02-2021
Last Update Date08-02-2021


Primary Taxonomy

Taxonomy Code261QM0801X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationMental Health (Including Community Mental Health Center)

Business Address

DNA COMPREHENSIVE THERAPY SERVICES, LLC
7751 BAYMEADOWS RD E STE H
JACKSONVILLE, FL
ZIP 32256
Phone: (844) 808-9096
Fax: (904) 638-8752

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Mailing Address

DNA COMPREHENSIVE THERAPY SERVICES, LLC
4310 METRO PKWY STE 205
FORT MYERS, FL
ZIP 33916
Phone: (239) 236-8784
Fax: (239) 790-2624



Authorized Official

Authorized Official Name JASMINE CURTIS
Authorized Official TitleCREDENTIALING DIRECTOR
Authorized Official Phone(239) 236-8784

Other Providers at the same location


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

NPI Name / Type Taxonomy Address
1356553945DR. LIELANIE MAE LIONG AGUILAR-PASCASI M.D.
Individual
Psychiatry & Neurology (Psychiatry)7751 BAYMEADOWS RD E STE H
JACKSONVILLE, FL 32256
(904) 308-3751
1376514091MRS. JOYCE M GOODMAN P.A.
Individual
Physician Assistant (Medical)7751 BAYMEADOWS RD E STE H
JACKSONVILLE, FL 32256
(904) 425-6963
1407819683DR. ALPA M. PATEL M.D.
Individual
Internal Medicine7751 BAYMEADOWS RD E STE H
JACKSONVILLE, FL 32256
(904) 425-6963
1720282106 MOHAMMAD FAROOQ TAJ MD
Individual
Internal Medicine7751 BAYMEADOWS RD E STE H
JACKSONVILLE, FL 32256
(904) 425-6963
1215999842DR. JULIUS A. GOROSPE M.D.
Individual
Family Medicine7751 BAYMEADOWS RD E STE H
JACKSONVILLE, FL 32256
(904) 425-6963
1265020002DR. ANGELA T. KALEM DNP, APRN
Individual
Nurse Practitioner (Psychiatric/Mental Health)7751 BAYMEADOWS RD E STE H
JACKSONVILLE, FL 32256
(239) 223-2751
1760624688DR. ARPETA GUPTA M.D.
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)7751 BAYMEADOWS RD E STE H
JACKSONVILLE, FL 32256
(904) 425-6963
1710489182 AMANDA DANIELLE MCQUAGGE ARNP
Individual
Nurse Practitioner (Family)7751 BAYMEADOWS RD E STE H
JACKSONVILLE, FL 32256
(904) 425-6963

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.