Organization Active NPI

Take Flight Services, Inc

  • Counselor
  • Jacksonville, FL
National Provider Identifier
1821514902
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
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

Updated by the provider on Jul 21, 2022

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)CodeLicenseStatePrimary
CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101Y00000X Primary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.