Healthcare Provider Details

I. General information

NPI: 1780592311
Provider Name (Legal Business Name): COLORS OF COMPASSION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5205 GLEN ALAN CT S
JACKSONVILLE FL
32210-8750
US

IV. Provider business mailing address

5205 GLEN ALAN CT S
JACKSONVILLE FL
32210-8750
US

V. Phone/Fax

Practice location:
  • Phone: 904-655-5837
  • Fax:
Mailing address:
  • Phone: 904-655-5837
  • Fax:

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 Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DEEDRA WOODS
Title or Position: OWNER
Credential: LCSW
Phone: 904-655-5837