Family Life Christian Counseling, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW4361 Issued in FL

Legal business name

FAMILY LIFE CHRISTIAN COUNSELING, INC.

Practice address

2121 Corporate Square Blvd.
Suite 251
Jacksonville, FL 32216-1992

Phone

(904) 725-1800

Fax

(904) 725-6241

NPI assigned

Nov 23, 2011

Last updated

Nov 23, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Keith Raymond Schroyer, LCSW

Title

President

Phone

(904) 725-1800

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• C Jefferson Hood III, PHD

  • Marriage & Family Therapist
  • Rainsville, AL
  • NPI 1457407660
  NPD (past)

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

{
    "created_epoch": "1322006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322006400000",
    "number": "1114294824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 CORPORATE SQUARE BLVD.",
            "address_2": "SUITE 251",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161992",
            "telephone_number": "904-725-1800",
            "fax_number": "904-725-6241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 CORPORATE SQUARE BLVD.",
            "address_2": "SUITE 251",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161992",
            "telephone_number": "904-725-1800",
            "fax_number": "904-725-6241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY LIFE CHRISTIAN COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-23",
        "last_updated": "2011-11-23",
        "status": "A",
        "authorized_official_last_name": "SCHROYER",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-725-1800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW4361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family First Vision Care, PLLC
• Family Focus Infusion LLC
• Family Foundations of Northeast Florida, Inc
• Family Foundations of Northeast Florida, Inc
• Family Health Associates of Kings Road
• Family Love Transportation LLC
• Family Medicine & Rehab (West Jax Sleep Center)
• Family Medicine & Rehab Inc
• Family Practice Associates of Jacksonville
• Family Support Services of North Florida

• Clinical Social Worker in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2011; 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.