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Kalena Smith-fulwiley, Llc
Community/Behavioral Health Agency in Jacksonville, Florida
NPI 1538608112

Kalena Smith-fulwiley, Llc is a Community/Behavioral Health Agency based in Jacksonville, FL. Kalena Smith-fulwiley, Llc practices in Jacksonville, FL. The NPI Number for Kalena Smith-fulwiley, Llc is 1538608112 and holds a License No. MH12125 (Florida).

The current practice location address for Kalena Smith-fulwiley, Llc is 422 New Berlin Rd, Jacksonville, FL and can be reached out via phone at 904-269-0886.

Location: 422 New Berlin Rd, Jacksonville, FL, 32218-7984
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1538608112
Provider Name
Kalena Smith-fulwiley, Llc
Credential
Provider Entity Type
Organization
Address
422 New Berlin Rd, Jacksonville, FL, 32218-7984
Phone Number
904-269-0886
Fax Number
Provider Enumeration Date
02/16/2017
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
010404400 05 FL
institution
Provider Business Practice Location Address Details
Address
422 New Berlin Rd
City
Jacksonville
State
Florida
Zip
32218-3827
Phone Number
904-269-0886
Fax Number
person
Provider Business Mailing Address Details
Address
422 New Berlin Rd
City
Jacksonville
State
Florida
Zip
32218-3827
Phone Number
904-269-0886
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MH12125 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
MH12125 (Florida)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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