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

Kam Virtual Therapeutic Services Inc

Organization Clinical Social Worker · NPI 1205445327

Kam Virtual Therapeutic Services Inc is a Clinical Social Worker in Jacksonville, Florida. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11266 Lake Mandarin Cir E
Jacksonville, FL 32223-7811
Phone: (904) 705-6130
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1205445327
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly Minor — President · (904) 720-2090
Other names Kam Virtual; Kam Virtual
NPI enumeratedJuly 24, 2020
Last updated in NPPESMarch 16, 2022
Certification dateMarch 16, 2022
Mailing address7643 Gate Pkwy Ste 104-941, Jacksonville, FL 32256-2893

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