Provider Demographics
NPI:1801954094
Name:THE KADIE GROUP, INC
Entity type:Organization
Organization Name:THE KADIE GROUP, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:DROZD
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, LPC, NCC
Authorized Official - Phone:904-687-1592
Mailing Address - Street 1:303B ANASTASIA BLVD
Mailing Address - Street 2:#159
Mailing Address - City:ST AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32080-4506
Mailing Address - Country:US
Mailing Address - Phone:904-687-1592
Mailing Address - Fax:413-714-4590
Practice Address - Street 1:24 CATHEDRAL PL
Practice Address - Street 2:SUITE 400
Practice Address - City:ST AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32084-4473
Practice Address - Country:US
Practice Address - Phone:904-687-1592
Practice Address - Fax:413-714-4590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH0003697101YM0800X
FLMH5527101YM0800X
NY000057-1101YM0800X
FLPY6700103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty