K Shealey Counseling and Family Services, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

K SHEALEY COUNSELING AND FAMILY SERVICES, LLC

Practice address

3119 Spring Glen Rd Ste 105
Jacksonville, FL 32207-5921

Phone

(904) 404-8113

NPI assigned

Nov 27, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Kendra Shealey, MA

Title

Therapist

Phone

(904) 404-8113

Specialties & licenses 1

Addresses

Tax ID family

K Shealey Counseling and Family Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• K Shealey Counseling and Family Services, LLC

  • Case Management Agency
  • Jacksonville, FL
  • NPI 1669726212
  NPD tax ID

Locations

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

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511740800000",
    "number": "1619481827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3119 SPRING GLEN RD STE 105",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322075921",
            "telephone_number": "904-404-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3119 SPRING GLEN RD STE 105",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322075921",
            "telephone_number": "904-404-8113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K SHEALEY COUNSELING AND FAMILY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-27",
        "last_updated": "2017-11-27",
        "status": "A",
        "authorized_official_last_name": "SHEALEY",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "904-404-8113",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yanelys Juvier
• Babita Jyoti, MD
• K & a Services, Corp
• K and L Fitness, Inc.
• Chitra Lakshmi K Balasubramanian, PHD, PT
• K Shealey Counseling and Family Services, LLC
• Ka-N-Ve Elderly Care LLC
• Loay Kabra, DMD
• Sydney Kabrich
• Toufic Assaad Kachaamy, M.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2017; 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.