Bobby Alandis Bogan Jr.
Individual provider Active NPI Professional Counselor · Jacksonville, FL
NPI 1356903280 · NPPES record last updated Jul 1, 2019
Key facts
- NPI
- 1356903280
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- Practice address
- 1725 Oakhurst Ave
Jacksonville, FL 32208-3200 - Phone
- (904) 765-0665
- Fax
- (904) 765-0664
- NPI assigned
- Jul 1, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Right Path Behavioral Health Services LLC | Past | Accepting new patients | |
| Right Path Behavioral Health Services, LLC. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Yes |
Addresses
Primary practice location
1725 Oakhurst Ave
Jacksonville, FL 32208-3200
Mailing address
1725 Oakhurst Ave
Jacksonville, FL 32208-3200
Phone (904) 765-0665
Other providers in Jacksonville, FL
- Charles Francis Boelter
- Caitlin P Boera
- Sarah Boesel
- Zachary Boeskool
- Claire Boettcher
- Boger Enterprises, Inc
- Toni Dawnyette Boger
- Taylor Christian Boggess
- John Scott Boggs
- Ralph B Boggs
All providers in Jacksonville, FL · Professional Counselor in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.