Healthcare Provider Details

I. General information

NPI: 1649193376
Provider Name (Legal Business Name): NORTH FLORIDA BEHAVIORAL HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1616 JORK RD STE 101
JACKSONVILLE FL
32207-2492
US

IV. Provider business mailing address

15770 STEDMAN LAKE DR
JACKSONVILLE FL
32218-0619
US

V. Phone/Fax

Practice location:
  • Phone: 904-755-6623
  • Fax: 888-402-9512
Mailing address:
  • Phone: 904-755-6623
  • Fax: 888-402-9512

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code103TM1800X
TaxonomyIntellectual & Developmental Disabilities Psychologist
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: DR. GAIL JAMES
Title or Position: DIRECTOR
Credential: PHD.
Phone: 904-554-2185