Doctor Name: | ADRIA VAIL PRATT |
NPI Number: | 1285888073 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | MH 10386 |
Business Practice Address: | 6316 San Juan Ave Suite 41 Jacksonville, FL - 322102831 |
Business Phone Number: | 9047832579 |
Business Fax Number: | 9042251901 |
Mailing Address: | 1100 Cesery Blvd, Suite 11 JACKSONVILLE |
State: | FL |
Postal Code: | 322115674 |
Phone Number: | 9047166184 |
Fax Number: | 9047453086 |
NPI Enumeration Date: | 11/06/2008 |
NPI Last Update Date: | 08/06/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | MH 10386 |
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 |