Prophetic Healing Deliverance Ministry of Mysteries, Inc

Primary specialty

Pastoral CounselorTaxonomy code 101YP1600X

Legal business name

PROPHETIC HEALING DELIVERANCE MINISTRY OF MYSTERIES, INC

Practice address

8550-2 Lone Star Road
Jacksonville, FL 32211

Phone

(904) 257-3769

NPI assigned

Dec 5, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Juno Akbar, DDIV

Title

Executive Director

Phone

(904) 257-3769

Specialties & licenses 1

Addresses

Other names 1

• PhdMom's Christian Counseling Center Doing business as

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

{
    "created_epoch": "1575504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575504000000",
    "number": "1366089641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2943 SEARCHWOOD DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322773435",
            "telephone_number": "561-752-6141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8550-2 LONE STAR ROAD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32211",
            "telephone_number": "904-257-3769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROPHETIC HEALING DELIVERANCE MINISTRY OF MYSTERIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-05",
        "last_updated": "2019-12-05",
        "status": "A",
        "authorized_official_last_name": "AKBAR",
        "authorized_official_first_name": "JUNO",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "904-257-3769",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDIV"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PhdMom's Christian Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pastoral Counselor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Pastoral Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; 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.