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

Jacksonville Youth Sanctuary

Organization Social Worker · NPI 1104054030

Jacksonville Youth Sanctuary is a Social Worker in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2009.

Licensed in
FL
In the registry since
2009

Practice location Address checks out

4570 Saint Johns Ave Ste 3
Jacksonville, FL 32210-1848
Phone: (904) 389-5231
Fax: (904) 677-8019
Show map & directions

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

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 171M00000X (FL)

Record details

NPI number1104054030
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Danielle Burns — Targeted Case Manager · (904) 993-7955
NPI enumeratedJune 30, 2009
Last updated in NPPESJuly 7, 2009
Mailing address4570 Saint Johns Ave, Suite 3, Jacksonville, FL 32210-1848

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