Acts of Virtue

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ACTS OF VIRTUE

Practice address

9424 Baymeadows Rd Ste 250
Jacksonville, FL 32256-7967

Phone

(850) 610-1785

Fax

(850) 812-4693

NPI assigned

Sep 8, 2021

Last updated

Sep 8, 2021By 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

Miss Lashica Shartrece Charley, LMHC

Title

Owner/Director

Phone

(850) 610-1785

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631059200000",
    "number": "1982373478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9424 BAYMEADOWS RD STE 250",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567967",
            "telephone_number": "850-610-1785",
            "fax_number": "850-812-4693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9424 BAYMEADOWS RD STE 250",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567967",
            "telephone_number": "850-610-1785",
            "fax_number": "850-812-4693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTS OF VIRTUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-08",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A",
        "authorized_official_last_name": "CHARLEY",
        "authorized_official_first_name": "LASHICA",
        "authorized_official_middle_name": "SHARTRECE",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "850-610-1785",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235486093",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.