SOUTHSIDE COUNSELING BIOFEEDBACK & STRESS MANAGEMENT CENTER, INC
NPI 1760932529
Counselor - Mental Health in Jacksonville, FL

Q: What is Southside Counseling Biofeedback & Stress Management Center, Inc's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Active since October 05, 2016

4943 BEACH BLVD, JACKSONVILLE, FL 32207(904) 396-9144 Get Directions Write a Review

NPPES record last updated: October 5, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Southside Counseling Biofeedback & Stress Management Center, Inc NPPES

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

SOUTHSIDE COUNSELING BIOFEEDBACK & STRESS MANAGEMENT CENTER, INC (NPI 1760932529) is a healthcare organization registered as a mental health in Jacksonville, Florida and active in the NPI registry since October 2016. The organization lists Theresa G. Stanford, Chief Executive, as its authorized official.

NPPES Registry Identity

NPI1760932529

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameSOUTHSIDE COUNSELING BIOFEEDBACK & STRESS MANAGEMENT CENTER, INC

Location Address4943 BEACH BLVDJacksonville, FL 32207-4802

Mailing Address4943 Beach BlvdJacksonville, FL 32207-4802 · (904) 396-9144

Phone(904) 396-9144

Organization SubpartNo

Authorized OfficialTheresa G. StanfordChief Executive · (904) 396-9144

Enumeration DateOctober 5, 2016

✔ NPI 1760932529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in FL · MH 1539

4943 BEACH BLVD, Jacksonville, FL 32207

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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

Other Providers at the Same Location NPPES

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

MRS. THERESA STANFORD LMHC

Counselor (Mental Health)

4943 BEACH BLVD
JACKSONVILLE, FL 32207

Duval County (904) 396-9144

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 Southside Counseling Biofeedback & Stress Management Center, Inc's NPI number?

The NPI number for Southside Counseling Biofeedback & Stress Management Center, Inc is 1760932529. It was assigned to this organization in the NPPES registry on October 5, 2016.

Where is Southside Counseling Biofeedback & Stress Management Center, Inc located?

Southside Counseling Biofeedback & Stress Management Center, Inc is located at 4943 Beach Blvd, Jacksonville, FL 32207. The listed phone number is (904) 396-9144.

What is Southside Counseling Biofeedback & Stress Management Center, Inc's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Southside Counseling Biofeedback & Stress Management Center, Inc was last updated on October 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.