Ethereal Counseling Center LLC
Ethereal Counseling Center LLC is a Mental Health Counselor in Jacksonville, Florida. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
10035 Bengal Fox DrJacksonville, FL 32222-2895
Phone: (904) 515-3326
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|---|
| Marriage & Family Therapist | Taxonomy 106H00000X |
Record details
| NPI number | 1164188496 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Dana Weiss — Credentialing Specialist · (904) 701-3076 |
| NPI enumerated | November 10, 2021 |
| Last updated in NPPES | July 24, 2023 |
| Certification date | July 24, 2023 |
| Mailing address | 10035 Bengal Fox Dr, Jacksonville, FL 32222-2895 |
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