Provider Demographics
NPI:1013414960
Name:MCCOY-JONES, SAKINA (MS, LHC)
Entity Type:Individual
Prefix:
First Name:SAKINA
Middle Name:
Last Name:MCCOY-JONES
Suffix:
Gender:F
Credentials:MS, LHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8880 ARBOR BREEZE LN
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32222-1624
Mailing Address - Country:US
Mailing Address - Phone:904-323-8770
Mailing Address - Fax:
Practice Address - Street 1:1725 OAKHURST AVE
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32208-3200
Practice Address - Country:US
Practice Address - Phone:904-367-2237
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-08
Last Update Date:2018-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health