International Academy of Cultural Free Counseling and Psychotherapy

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MH0054 Issued in FL

Legal business name

INTERNATIONAL ACADEMY OF CULTURAL FREE COUNSELING AND PSYCHOTHERAPY

Practice address

2457 Southern Links Dr
Orange Park, FL 32003-6356

Phone

(904) 269-4481

Fax

(904) 269-4481

NPI assigned

Feb 5, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. William Carnell Jones, LMHC

Title

Chief Executive Officer

Phone

(904) 269-4481

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093854192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2457 SOUTHERN LINKS DRIVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "32003",
            "telephone_number": "904-269-4481",
            "fax_number": "904-269-4481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2457 SOUTHERN LINKS DR",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320036356",
            "telephone_number": "904-269-4481",
            "fax_number": "904-269-4481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNATIONAL ACADEMY OF CULTURAL FREE COUNSELING AND PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "CARNELL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "904-269-4481",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MH0054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.