Hyatt Haven Mental Health Clinic

LBN: Hyatt Haven Mental Health Clinic
Hyatt Haven Mental Health Clinic is an health care organization with primary practice located at 2140 Kingsley Ave Ste 8 , Orange Park FL 32073-5129. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Psychologist, Nursing Service Providers / Registered Nurse, Allopathic & Osteopathic Physicians / Psychiatry, Ambulatory Health Care Facilities / Multi-Specialty, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty. Hyatt Haven Mental Health Clinic can be contacted via phone (904) 742-8623, or through Hyatt, Jacquelyn via phone (904) 742-8623.

Contact Information

Primary practice address
2140 Kingsley Ave Ste 8 Orange Park FL 32073-5129
Phone: (904) 742-8623
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hyatt, Jacquelyn PHARMD
Phone: (904) 742-8623

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Nursing Service Providers / Registered Nurse 163W00000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1063228559
LBN Legal business name Hyatt Haven Mental Health Clinic
DBA Doing business as
Authorized official Hyatt, Jacquelyn PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Dec 9th, 2024
Last updated Dec 9th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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