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Randy Ely, RMHCI
Mental Health Counselor in Jacksonville, Florida
NPI 1902395254

Randy Ely is a Mental Health Counselor based in Jacksonville, FL and is specialized in Mental Health. Randy Ely practices in Jacksonville, FL and has the professional credentials of RMHCI. The NPI Number for Randy Ely is 1902395254 and holds a License No. IMHI7070 (Florida).

The current practice location address for Randy Ely is 6867 Southpoint Dr N, Jacksonville, FL and can be reached out via phone at 904-619-6071 and via fax at 904-212-0309.

Location: 6867 Southpoint Dr N, Jacksonville, FL, 32216-8043
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Provider Profile Details
NPI Number
1902395254
Provider Name
Randy Ely
Credential
RMHCI
Provider Entity Type
Individual
Gender
Male
Address
6867 Southpoint Dr N, Jacksonville, FL, 32216-8043
Phone Number
904-619-6071
Fax Number
904-212-0309
Provider Enumeration Date
05/02/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
IMH17070 01 FL FL HEALTH LICENSE
institution
Provider Business Practice Location Address Details
Address
6867 Southpoint Dr N
City
State
Zip
32216-8043
Phone Number
904-619-6071
Fax Number
904-212-0309
person
Provider Business Mailing Address Details
Address
6867 Southpoint Dr N
City
State
Zip
32216-8043
Phone Number
904-619-6071
Fax Number
904-212-0309
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
IMHI7070 (Florida)
Definition
Definition to come...
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