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Tracy Riley Counseling Llc
Community/Behavioral Health Agency in Jacksonville, Florida
NPI 1902239270

Tracy Riley Counseling Llc is a Community/Behavioral Health Agency based in Jacksonville, FL. Tracy Riley Counseling Llc practices in Jacksonville, FL. The NPI Number for Tracy Riley Counseling Llc is 1902239270 and holds a License No. MH 5716 (Florida).

The current practice location address for Tracy Riley Counseling Llc is 10151 Deerwood Park Blvd Ste 200-250, Jacksonville, FL and can be reached out via phone at 904-704-2527. You can also correspond with Tracy Riley Counseling Llc through the mailing address at 10151 DEERWOOD PARK BLVD STE 200-250, JACKSONVILLE, FL - 32256-0589 (mailing address contact number: 904-704-2527).

Location: 10151 Deerwood Park Blvd Ste 200-250, Jacksonville, FL, 32256-0589
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902239270
Provider Name
Tracy Riley Counseling Llc
Credential
Provider Entity Type
Organization
Address
10151 Deerwood Park Blvd Ste 200-250, Jacksonville, FL, 32256-0589
Phone Number
904-704-2527
Fax Number
Provider Enumeration Date
08/09/2013
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
008697300 05 FL
institution
Provider Business Practice Location Address Details
Address
10151 Deerwood Park Blvd Ste 200-250
City
Jacksonville
State
Florida
Zip
32256
Phone Number
904-704-2527
Fax Number
person
Provider Business Mailing Address Details
Address
10151 Deerwood Park Blvd Ste 200-250
City
Jacksonville
State
Florida
Zip
32256
Phone Number
904-704-2527
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
(Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
ME0045122 (Florida)
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 3
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Addiction Psychiatry
Taxonomy
2084P0802X
License No.
SW9355 (Florida)
Definition
Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.
person
Provider's Taxonomy Details 4
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
MH 5716 (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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