Women's Center of Jacksonville

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MH 4529 Issued in FL

Legal business name

WOMEN'S CENTER OF JACKSONVILLE

Practice address

5644 Colcord Ave
Jacksonville, FL 32211-7017

Phone

(904) 722-3000

Fax

(904) 722-3100

NPI assigned

Aug 18, 2008

Last updated

Aug 18, 2008By 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

Ms. Jan A Gallagher, LMHC

Title

Director of Counseling

Phone

(904) 722-3000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1821244104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5644 COLCORD AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322117017",
            "telephone_number": "904-722-3000",
            "fax_number": "904-722-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5644 COLCORD AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322117017",
            "telephone_number": "904-722-3000",
            "fax_number": "904-722-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S CENTER OF JACKSONVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-18",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "GALLAGHER",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR OF COUNSELING",
        "authorized_official_telephone_number": "904-722-3000",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MH 4529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Women's Care Florida LLC
• Women's Care Florida LLC
• Women's Care Florida LLC
• Women's Care Florida LLC
• Women's Care Florida LLC
• Womens Physicians of Jacksonville PA
• Womens Special Care P a
• Wonderful Hands Care Services LLC
• Rebecca Wondimu
• Erica Wong, MD

• Community/Behavioral Health Agency in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; 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.