Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Baptist Behavioral Health, LLC

Organization Mental Health Counselor · NPI 1164155974

Baptist Behavioral Health, LLC is a Mental Health Counselor in Jacksonville, Florida. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1650 Prudential Dr Ste 210
Jacksonville, FL 32207-8149
Phone: (904) 376-3800
Fax: (904) 376-3998
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X
Mental Health Counselor Taxonomy 101YM0800X
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1164155974
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBaptist Behavioral Health, LLC
Authorized official Elizabeth De Medici — Credentialing Mgr · (904) 376-3800
NPI enumeratedJuly 8, 2022
Last updated in NPPESJuly 8, 2022
Certification dateJune 28, 2022
Mailing addressPo Box 748519, Atlanta, GA 30374-8519

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