ANTWAN NICHOLAS
NPI 1740740216
Counselor - Mental Health in Jacksonville, FL
Active since March 21, 2019
1225 W BEAVER ST STE 205, JACKSONVILLE, FL 32204(904) 712-3540(904) 775-3570 Get Directions Write a Review
About Antwan Nicholas NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANTWAN NICHOLAS (NPI 1740740216) is an individual mental health provider in Jacksonville, Florida and active in the NPI registry since March 2019.
NPPES Registry Identity
NPI1740740216
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameANTWAN NICHOLAS
Location Address1225 W BEAVER ST STE 205Jacksonville, FL 32204-1416
Mailing Address1225 W Beaver St Ste 205Jacksonville, FL 32204-1416 · (904) 712-3540 · Fax (904) 775-3570
Phone(904) 712-3540
Fax(904) 775-3570
Sole ProprietorNo
Enumeration DateMarch 21, 2019
✔ NPI 1740740216 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1225 W BEAVER ST STE 205, Jacksonville, FL 32204
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1740740216, enumerated as an "individual" on March 21, 2019.
The provider is located at 1225 W BEAVER ST STE 205 JACKSONVILLE, FL 32204 and the phone number is (904) 712-3540.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
