Healthcare Provider Details

I. General information

NPI: 1013309657
Provider Name (Legal Business Name): SOCIAL CARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2015
Last Update Date: 04/30/2025
Certification Date: 04/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8833 PERIMETER PARK BLVD STE 201
JACKSONVILLE FL
32216
US

IV. Provider business mailing address

8833 PERIMETER PARK BLVD STE 201
JACKSONVILLE FL
32216-1111
US

V. Phone/Fax

Practice location:
  • Phone: 904-294-5329
  • Fax: 904-485-8460
Mailing address:
  • Phone: 904-294-5329
  • Fax: 904-485-8460

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number012289300
License Number StateFL
# 5
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: HYDEE WARREN
Title or Position: COO
Credential:
Phone: 904-294-5329