Sea Breeze Therapy, LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

SEA BREEZE THERAPY, LLC

Practice address

6860 Tamra LN
Jacksonville, FL 32216-2829

Phone

(904) 299-6694

NPI assigned

Dec 24, 2020

Last updated

Dec 24, 2020By 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

Karla Elgin, LMFTNPI 1609268101

Title

Owner

Phone

(904) 299-6694

Specialties & licenses 1

Addresses

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.

• Karla Elgin, LMFT

  • Marriage & Family Therapist
  • Jacksonville, FL
  • NPI 1609268101
  NPD Authorized official

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

{
    "created_epoch": "1608768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608768000000",
    "number": "1366039257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16054",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322456054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6860 TAMRA LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322162829",
            "telephone_number": "904-299-6694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEA BREEZE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-24",
        "last_updated": "2020-12-24",
        "certification_date": "2020-12-24",
        "status": "A",
        "authorized_official_last_name": "ELGIN",
        "authorized_official_first_name": "KARLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-299-6694",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher B Scuderi, D.O.
• Gaelyn Elizabeth Lee Scuderi, M.D.
• Sophia Forsyth Scully, CAA
• Halima Scurry
• SD Carter Enterprises
• Sea Islands Therapy Group LLC
• Tia Sea, A.R.N.P.
• Lacreacia Seaborn
• Seabreeze Endodontics, PA (Geric Endodontics)
• Seabreeze Surgical PLLC (Natural Teeth Implants Center)

• Marriage & Family Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 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.