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Emdr Trauma Therapy Center Llc
Adolescent and Children Mental Health Clinic/Center in Orange Park, Florida
NPI 1407474943

Emdr Trauma Therapy Center Llc is an Adolescent and Children Mental Health Clinic/Center based in Orange Park, FL and is specialized in Adolescent and Children Mental Health. Emdr Trauma Therapy Center Llc practices in Orange Park, FL. The NPI Number for Emdr Trauma Therapy Center Llc is 1407474943 and holds a License No. (Florida).

The current practice location address for Emdr Trauma Therapy Center Llc is 1543 Kingsley Ave Ste 14, Orange Park, FL and can be reached out via phone at 904-375-9679 and via fax at 904-269-0870.

Location: 1543 Kingsley Ave Ste 14, Orange Park, FL, 32073-4570
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407474943
Provider Name
Emdr Trauma Therapy Center Llc
Credential
Provider Entity Type
Organization
Address
1543 Kingsley Ave Ste 14, Orange Park, FL, 32073-4570
Phone Number
904-375-9679
Fax Number
904-269-0870
Provider Enumeration Date
07/10/2020
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1114348661 01 NPI
institution
Provider Business Practice Location Address Details
Address
1543 Kingsley Ave Ste 14
City
Orange Park
State
Florida
Zip
32073-4570
Phone Number
904-375-9679
Fax Number
904-269-0870
person
Provider Business Mailing Address Details
Address
1543 Kingsley Ave Ste 14
City
Orange Park
State
Florida
Zip
32073-4570
Phone Number
904-375-9679
Fax Number
904-269-0870
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
()
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 6
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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