MEDICARE: KAYLA ADAMS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1366987372
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAYLA ADAMS

Provider Business Mailing Address
First Line	:	590 ELLIS RD S
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32254-3555
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	590 ELLIS RD S
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32254-3555
Country	:	US
Telephone Number	:	904-800-2231
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/29/2016
Last Update Date	:	12/29/2016

Similar Medicare Providers

1164372819 — YOLANDA MASSEY
Practice Location Address:

590 ELLIS RD S
JACKSONVILLE, FL
32254-3555

Practice Phone: 877-284-7074
Practice Fax:

1467838706 — METRO TREATMENT OF FLORIDA, LP
Practice Location Address:

590 ELLIS RD S , BLDG. 4
JACKSONVILLE, FL
32254-3555

Practice Phone: 904-800-2231
Practice Fax: 904-800-2233

1184088650 — DUVAL APS LLC
Practice Location Address:

590 ELLIS RD S BLDG 4
JACKSONVILLE, FL
32254-3555

Practice Phone: 904-800-6563
Practice Fax:

1700321718 — CLEANTHA MICHAEL
Practice Location Address:

590 ELLIS RD S
JACKSONVILLE, FL
32254-3555

Practice Phone: 904-800-2231
Practice Fax: 904-800-2233

1558806505 — VICTOR SULLIVAN JR.
Practice Location Address:

590 ELLIS RD S
JACKSONVILLE, FL
32254-3555

Practice Phone: 904-800-2231
Practice Fax: 904-800-2233

1467997411 — KOLU JENNINGS MCAP, CMHP, CBHCMS
Practice Location Address:

590 ELLIS RD S
JACKSONVILLE, FL
32254-3555

Practice Phone: 904-800-2231
Practice Fax:

Directions to “ KAYLA ADAMS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.