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

Southside Counselling Center LLC

Organization Professional Counselor · NPI 1124304167

Southside Counselling Center LLC is a Professional Counselor in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2011.

Licensed in
FL
In the registry since
2011
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

3681 Carol Ann Ln
Jacksonville, FL 32223-7394
Phone: (904) 316-3365
Fax: (904) 292-2409
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence MH8370 (FL)

Record details

NPI number1124304167
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carmella Gardner — Owner · (904) 316-3365
NPI enumeratedOctober 21, 2011
Last updated in NPPESMarch 14, 2012
Mailing address2950 Halcyon Ln, Jacksonville, FL 32223-6689

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