Taurus Memorial Foundation, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

TAURUS MEMORIAL FOUNDATION, LLC

Practice address

11513 Kings Ridge CT S
Jacksonville, FL 32218-8125

Phone

(904) 489-4223

NPI assigned

Feb 5, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Mindi Gardner, MSW, LCSW, CBHCMSNPI 1598109357

Title

Owner

Phone

(904) 489-4223

Specialties & licenses 2

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.

• Mindi Dawson Gardner, MSW, LCSW, CBHCMS

  • Clinical Social Worker
  • Jacksonville, FL
  • NPI 1598109357
  Authorized official Same address or phone

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

{
    "created_epoch": "1549324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695945600000",
    "number": "1508321498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11513 KINGS RIDGE CT S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322188125",
            "telephone_number": "904-489-4223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11513 KINGS RIDGE CT S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322188125",
            "telephone_number": "904-489-4223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAURUS MEMORIAL FOUNDATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-05",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "MINDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-489-4223",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW, LCSW, CBHCMS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary E Tatum, N.P.
• William O Tatum, DO
• Salik Taufiq, MD; MBBS
• Karli Nicole Taulbee, PT, DPT
• Logan Taulbee, DPT, CSCS
• Phillip Tavada Jr., BA
• Daryoush Tavanaiepour, MD
• Kourosh Tavanaiepour, D.O.
• Kiara Marie Tavarez
• Akira Taveras

• Mental Health Counselor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; 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.