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

Phillip Tavada Jr., BA

Individual provider Mental Health Counselor · NPI 1871260430

Phillip Tavada Jr., BA is a Mental Health Counselor in Jacksonville, Florida. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
BA — Bachelor of Arts
An undergraduate arts degree.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3890 Dunn Ave Ste 1104
Jacksonville, FL 32218-6432
Phone: (904) 765-0665
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 13364 Beach Blvd Unit 805, Jacksonville, FL 32224-0271 — (718) 650-9484

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1871260430
Entity typeIndividual (Type 1)
GenderMale
Credentials BA
Sole proprietorYes
NPI enumeratedAugust 23, 2021
Last updated in NPPESAugust 23, 2021
Certification dateAugust 23, 2021

Other providers in Jacksonville