Healthcare Provider Details

I. General information

NPI: 1508978867
Provider Name (Legal Business Name): NORTH FLORIDA ASSESSMENT AND COUNSELING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10149 FOX LAKE CT
JACKSONVILLE FL
32219-1693
US

IV. Provider business mailing address

10149 FOX LAKE CT
JACKSONVILLE FL
32219-1693
US

V. Phone/Fax

Practice location:
  • Phone: 352-494-6857
  • Fax: 888-346-3643
Mailing address:
  • Phone: 352-494-6857
  • Fax: 888-346-3643

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberSW7995
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberSW7995
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberSW7995
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberSW7995
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW7995
License Number StateFL
# 6
Primary TaxonomyN
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License NumberSW7995
License Number StateFL

VIII. Authorized Official

Name: SUSAN E KURNER
Title or Position: CEO
Credential: LCSW
Phone: 352-591-4357