Healthcare Provider Details

I. General information

NPI: 1881289312
Provider Name (Legal Business Name): PERSPECTIVES COUNSELING OF NORTH EAST FLORIDA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2021
Last Update Date: 03/05/2021
Certification Date: 03/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

596 CHESTWOOD CHASE DR
ORANGE PARK FL
32065-2571
US

IV. Provider business mailing address

596 CHESTWOOD CHASE DR
ORANGE PARK FL
32065-2571
US

V. Phone/Fax

Practice location:
  • Phone: 904-945-7749
  • Fax:
Mailing address:
  • Phone: 904-945-7749
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NATASHA LAMB
Title or Position: OWNER
Credential: LCSW
Phone: 904-945-7749