Healthcare Provider Details

I. General information

NPI: 1336972207
Provider Name (Legal Business Name): SOCIAL CARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2024
Last Update Date: 08/24/2024
Certification Date: 08/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 BALMORAL CIR N STE 201
JACKSONVILLE FL
32218-5577
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 TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MRS. HYDEE WARREN
Title or Position: CHIEF OPERATIONS OFFICER
Credential: LMHC
Phone: 904-294-5329