NPI 1184641052 TRACEY KAVANAGH LMHC SAINT JOHNS FL. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Tracey Kavanagh - NPI: 1184641052

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: TRACEY KAVANAGH
NPI Number: 1184641052
Entity Type Code: Individual (1)
Gender: F
Credentials: LMHC
License Number: MH4678
Business Practice Address: 3215 Hendricks Ave
Suite 3 Jacksonville, FL - 322074280
Business Phone Number: 9043182258
Business Fax Number: 9048081472
Mailing Address: 568 Saint Claude Pl,
SAINT JOHNS
State: FL
Postal Code: 322594074
Phone Number: 9043182258
Fax Number: 9048081472
NPI Enumeration Date: 07/16/2006
NPI Last Update Date: 01/29/2009
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 101Y00000X
License Number: MH4678
Healthcare Provider Taxonomy:
(Secondary)
Y
State: FL
Taxonomy Type: Behavioral Health & Social Service Providers
Taxonomy Classification: Counselor
Taxonomy Specialization:
Taxonomy Definition:
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master


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