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PHILLIP TAVADA JR. BA
NPI 1871260430
Counselor - Mental Health in Jacksonville, FL

Active since August 23, 2021
3890 DUNN AVE STE 1104, JACKSONVILLE, FL 32218(904) 765-0665 Get Directions Write a Review

NPPES record last updated: August 23, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Phillip Tavada Jr. Ba NPPES

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

PHILLIP TAVADA JR. BA (NPI 1871260430) is an individual mental health provider in Jacksonville, Florida and active in the NPI registry since August 2021. He maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1871260430
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NamePHILLIP TAVADA JR.Credential: BA
Location Address3890 DUNN AVE STE 1104Jacksonville, FL 32218-6432
Mailing Address3890 Dunn Ave Ste 1104Jacksonville, FL 32218-6432
Phone(904) 765-0665
Sole ProprietorYes
Enumeration DateAugust 23, 2021
NPPES CertifiedAugust 23, 2021
✔ NPI 1871260430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3890 DUNN AVE STE 1104, Jacksonville, FL 32218
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Secondary Practice Location 1

Location 113364 Beach Blvd Unit 805Jacksonville, FL 32224-0271 · Phone (718) 650-9484

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

MORGAN BYERS MSW
Counselor (Mental Health)
3890 DUNN AVE STE 1104
JACKSONVILLE, FL 32218
Duval County (904) 765-0665
ARIUS TREMICE LEWIS
Counselor
3890 DUNN AVE STE 1104
JACKSONVILLE, FL 32218
Duval County (904) 765-0665
DR. BIH BIKELLE MD
Psychiatry & Neurology (Psychiatry)
3890 DUNN AVE STE 1104
JACKSONVILLE, FL 32218
Duval County (904) 765-0665
ALICIA ELLEN DEVINE
Case Manager/Care Coordinator
3890 DUNN AVE STE 1104
JACKSONVILLE, FL 32218
Duval County (904) 765-0665
NELLIE A BROWN
Counselor (Mental Health)
3890 DUNN AVE STE 1104
JACKSONVILLE, FL 32218
Duval County (904) 765-0665
SHANTELL M COHEN
Counselor (Mental Health)
3890 DUNN AVE STE 1104
JACKSONVILLE, FL 32218
Duval County (904) 765-0665
MS. TAMARA WILLIAMS LMHC
Counselor (Mental Health)
3890 DUNN AVE STE 1104
JACKSONVILLE, FL 32218
Duval County (904) 765-0665
RIGHT PATH BEHAVIORAL HEALTH SERVICES LLC
Community/Behavioral Health
3890 DUNN AVE STE 1104
JACKSONVILLE, FL 32218
Duval County (904) 765-0665

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 Phillip Tavada's NPI number?

The NPI number for Phillip Tavada is 1871260430. It was assigned to this individual provider in the NPPES registry on August 23, 2021.

Where is Phillip Tavada located?

Phillip Tavada practices at 3890 Dunn Ave Ste 1104, Jacksonville, FL 32218. The listed phone number is (904) 765-0665.

What is Phillip Tavada'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 Phillip Tavada was last updated on August 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.