AUDREY ROACH-SLIVINSKI, LCSW
NPI 1922471721
Clinic/Center - Mental Health (Including Community Mental Health Center) in Jacksonville Beach, FL
- Organization
- Clinic/Center
- Mental Health (Including Community Menta...
About AUDREY ROACH-SLIVINSKI, LCSW
This page provides the complete NPI Profile along with additional information for Audrey Roach-slivinski, Lcsw, a provider established in Jacksonville Beach, Florida operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1922471721 assigned on November 2015. The practitioner's primary taxonomy code is 261QM0801X with license number 11846 (FL). The provider is registered as an organization and their NPI record was last updated 8 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Audrey Roach-slivinski, Lcsw. The authorized official of this NPI record is Audrey Roach-slivinski Lcsw (Owner)
- NPI
- 1922471721 Verify this NPI
- Provider Legal Name
- BEACHES THERAPY LLC
- Other Organization Name
- AUDREY ROACH-SLIVINSKI, LCSW
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1552 ROBERTS DR JACKSONVILLE BEACH, FL 32250
- Location Phone
- (904) 729-2947
- Mailing Address
- 1552 ROBERTS DR JACKSONVILLE BEACH, FL 32250
- Mailing Phone
- (904) 729-2947
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-03-2015
- Last Update Date
- 03-17-2018
- Code Navigator
Location Map
Secondary Locations
- 3552 Sanctuary Blvd
Jacksonville Beach, FL 32250
(904) 729-2947
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 Mental Health (Including Community Mental Health Center)
- Taxonomy Code
- 261QM0801X
- Type
- Ambulatory Health Care Facilities
- License No.
- 11846
- License State
- FL
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 | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | 11846 (FL) |
| 2 | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | 11846 (FL) |
| 3 | 261QM0855X | Ambulatory Health Care Facilities | Clinic/Center | 11846 (FL) |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1922471721, enumerated as an "organization" on November 03, 2015.
The provider is located at 1552 ROBERTS DR JACKSONVILLE BEACH, FL 32250 and the phone number is (904) 729-2947.
Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).
