Healthcare Provider Details

I. General information

NPI: 1760310023
Provider Name (Legal Business Name): CEDAR AND STREAM COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

2220 COUNTY ROAD 210 W STE 108-313
JACKSONVILLE FL
32259-4058
US

IV. Provider business mailing address

2220 COUNTY ROAD 210 W STE 108-313
JACKSONVILLE FL
32259-4058
US

V. Phone/Fax

Practice location:
  • Phone: 904-446-8428
  • Fax: 844-770-0422
Mailing address:
  • Phone: 904-446-8428
  • Fax: 844-770-0422

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MRS. TONYA MARIE WOODS
Title or Position: FOUNDER AND CEO
Credential: MS
Phone: 904-446-8428