SANKOFA BEHAVIORAL HEALTH SERVICES LLC
NPI 1710589205
Clinic/Center - Adult Mental Health in Jacksonville, FL
NPI Status: Active since November 10, 2020
Contact Information
5379 LENOX AVE
JACKSONVILLE, FL
ZIP 32205
Phone: (904) 891-6614
Fax: (904) 512-6614
- Organization
- Clinic/Center
- Adult Mental Health
About SANKOFA BEHAVIORAL HEALTH SERVICES LLC
This page provides the complete NPI Profile along with additional information for Sankofa Behavioral Health Services Llc, a provider established in Jacksonville, Florida operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1710589205 assigned on November 2020. The practitioner's primary taxonomy code is 261QM0850X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Dr. Mia R Wilson Ed.d (Lmhc)
- NPI
- 1710589205
- Provider Name
- SANKOFA BEHAVIORAL HEALTH SERVICES LLC
- Entity Type
- Organization
- Location Address
- 5379 LENOX AVE JACKSONVILLE, FL 32205
- Location Phone
- (904) 891-6614
- Location Fax
- (904) 512-6614
- Mailing Address
- PO BOX 8056 JACKSONVILLE, FL 32239
- Mailing Phone
- (904) 891-6614
- Mailing Fax
- (904) 512-6614
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-10-2020
- Last Update Date
- 11-10-2020
- Code Navigator
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
Clinic/Center Adult Mental Health
- Taxonomy Code
- 261QM0850X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QM0855X | Ambulatory Health Care Facilities | Clinic/Center |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 1 | 0 | 5 | 8 | 9 | 2 | 0 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 2 | 0 | 10 | 8 | 18 | 2 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 2 + 0 + 1 + 0 + 8 + 1 + 8 + 2 + 0 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1710589205 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
DR. LARRY TYRONE RICHARDSON PH.D., LMHC
Counselor
(Mental Health)
5379 LENOX AVE
JACKSONVILLE, FL
ZIP 32205
DR. MIA R WILSON ED.D
Counselor
(Mental Health)
5379 LENOX AVE
JACKSONVILLE, FL
ZIP 32205
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710589205, enumerated as an "organization" on November 10, 2020.
The provider is located at 5379 LENOX AVE JACKSONVILLE, FL 32205 and the phone number is (904) 891-6614.
Clinic/Center with taxonomy code 261QM0850X and a focus in Adult Mental Health.
