Provider Demographics
NPI:1952025280
Name:PUZZLED CATERPILLARS, INC
Entity Type:Organization
Organization Name:PUZZLED CATERPILLARS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FRANCES
Authorized Official - Middle Name:L
Authorized Official - Last Name:MCMILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-597-1517
Mailing Address - Street 1:5230 ANISA CT
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32209-3058
Mailing Address - Country:US
Mailing Address - Phone:904-597-1517
Mailing Address - Fax:904-216-3122
Practice Address - Street 1:5230 ANISA CT
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32209-3058
Practice Address - Country:US
Practice Address - Phone:904-597-1517
Practice Address - Fax:904-216-3122
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-29
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty