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

Proactive Life Skills LLC

Organization Community/Behavioral Health Agency · NPI 1902331382

Proactive Life Skills LLC is a Community/Behavioral Health Agency in Jacksonville, Florida. Registered with an NPI since 2017.

In the registry since
2017
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

13121 Atlantic Blvd Ste 200
Jacksonville, FL 32225-0103
Phone: (904) 228-8358
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X

Record details

NPI number1902331382
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly Noda — Managing Director · (904) 228-8358
NPI enumeratedApril 24, 2017
Last updated in NPPESJune 18, 2024
Certification dateJune 18, 2024
Mailing address13121 Atlantic Blvd, Suite 200, Jacksonville, FL 32225-0103

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