Family Counseling & Psychological Services LLC

NPI #1306192513 in Amelia Island, Florida

Provider Information

NPI Number: 1306192513
Entity Type: Organization
Organization Name: Family Counseling & Psychological Services LLC
Primary Specialty: Counselor
Enumeration Date: Jul 25, 2012
Last Updated: Jan 21, 2015

Practice Location

Address: 5422 FIRST COAST HWY
Address 2: STE 119
City: Amelia Island
State: Florida
ZIP Code: 32034-5423
Phone: (904) 432-7617

Authorized Official

Name: DR. KENNETH F. JOHNSON, DR.
Title: ADMINISTRATOR OF BUSINESS
Phone: (386) 235-3831

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X
Counselor - Mental Health — Mental Health	101YM0800X
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Psychologist	103T00000X
Psychologist - Exercise & Sports — Exercise & Sports	103TE1100X
Counselor - Pastoral — Pastoral	101YP1600X
Counselor	101Y00000X	Primary

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