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General NPI Number Information
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NPI Number | 1013309657
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Entity Type | Organization
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Legal Business Name | SOCIAL CARE SERVICES, LLC
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Dates
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Enumeration Date | 02/18/2015
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 8833 PERIMETER PARK BLVD STE 201
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City | JACKSONVILLE
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State | FL
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Zip | 32216
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Country | US
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Telephone | 904-294-5329
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Fax | 904-485-8460
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Provider Business Mailing Address
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Address Line | 8833 PERIMETER PARK BLVD STE 201
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City | JACKSONVILLE
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State | FL
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Zip | 32216-1111
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Country | US
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Telephone | 904-294-5329
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Fax | 904-485-8460
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Authorized Official
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Title or Position | COO
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Name | HYDEE WARREN
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Credential |
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Telephone | 904-294-5329
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 012289300
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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