Provider Demographics
NPI:1679813935
Name:SOUTH FLORIDA COUNSELING AND AWARENESS CENTER
Entity Type:Organization
Organization Name:SOUTH FLORIDA COUNSELING AND AWARENESS CENTER
Other - Org Name:SOLUTIONS COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:BATTAGLINO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:904-619-8011
Mailing Address - Street 1:4040 SUNBEAM RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32257-7547
Mailing Address - Country:US
Mailing Address - Phone:904-619-8011
Mailing Address - Fax:904-619-8011
Practice Address - Street 1:4040 SUNBEAM RD
Practice Address - Street 2:SUITE 2
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32257-7547
Practice Address - Country:US
Practice Address - Phone:904-619-8011
Practice Address - Fax:904-619-8011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-25
Last Update Date:2013-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCPY0196020997103TF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamilyGroup - Multi-Specialty