Healthcare Provider Details

I. General information

NPI: 1801954094
Provider Name (Legal Business Name): THE KADIE GROUP, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 CATHEDRAL PL SUITE 400
ST AUGUSTINE FL
32084-4473
US

IV. Provider business mailing address

303B ANASTASIA BLVD #159
ST AUGUSTINE FL
32080-4506
US

V. Phone/Fax

Practice location:
  • Phone: 904-687-1592
  • Fax: 413-714-4590
Mailing address:
  • Phone: 904-687-1592
  • Fax: 413-714-4590

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH0003697
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH5527
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY6700
License Number StateFL
# 4
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number000057-1
License Number StateNY

VIII. Authorized Official

Name: ALLEN DROZD
Title or Position: DIRECTOR
Credential: LMHC, LPC, NCC
Phone: 904-687-1592