Active NPI
Take Flight Services, Inc
- Counselor
- Jacksonville, FL
National Provider Identifier
1821514902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Legal business name
- TAKE FLIGHT SERVICES, INC
- Practice address
- 841 Prudential Dr Ste 1200
Jacksonville, FL 32207-8874 - Phone
- (866) 585-1790
- NPI assigned
- Aug 21, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Wanda Renfrow, MSW
- Title
- Social Worker Clinical/Counselor
- Phone
- (404) 630-9660
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary | ||
| Clinical Social Worker | 1041C0700X | P006527 | NC |
Addresses
Primary practice location
841 Prudential Dr Ste 1200
Jacksonville, FL 32207-8874
Mailing address
841 Prudential Dr.
Ste. 1200
Jacksonville, FL 32207
Phone (866) 585-1790
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503273600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1821514902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "841 PRUDENTIAL DR.",
"address_2": "STE. 1200",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32207",
"telephone_number": "866-585-1790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "841 PRUDENTIAL DR STE 1200",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322078874",
"telephone_number": "866-585-1790"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TAKE FLIGHT SERVICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-21",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "RENFROW",
"authorized_official_first_name": "WANDA",
"authorized_official_title_or_position": "SOCIAL WORKER CLINICAL/COUNSELOR",
"authorized_official_telephone_number": "404-630-9660",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MSW"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P006527",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.